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Revista Cubana de Cirugía
versión On-line ISSN 1561-2945
Resumen
SARDINAS PONCE, Raysy; PEREZ ARIAS, Yarenis y GUERRA LEAL, Alcides. Usefulness of the Modified Rockall and Baylor Scores in Gastrointestinal Hemorrhage due to Peptic Ulcer. Rev Cubana Cir [online]. 2018, vol.57, n.3 ISSN 1561-2945.
Introduction:
Upper gastrointestinal hemorrhage is a common health problem worldwide and one of the emergencies determining a huge number of admissions into general surgery services in our scenario, it is therefore of great clinical and sanitary importance.
Objective:
To determine the usefulness of the modified Rockall and Baylor scores in predicting rebleeding in patients with upper gastrointestinal hemorrhage.
Method:
A prospective, descriptive, observational study was carried out, including patients admitted for upper gastrointestinal hemorrhage due to peptic ulcer in Enrique Cabrera, from January 1st, 2015 to September 30, 2015.
Results:
Among the 300 patients admitted for upper digestive hemorrhage due to peptic ulcer, we took a sample of 71 patients. All patients were performed endoscopic treatment, while 8.4% were performed surgical treatment. Nine patients presented with rebleeding (12.7%). The modified Rockall and Baylor scores showed a specificity of 82% and 86%, respectively, with low sensitivity in both cases. Despite this, the Rockall score is the one with the highest sensitivity.
Conclusions:
The two score were highly specific, but the Rockall score was more sensitive for identifying patients at high risk of rebleeding.
Palabras clave : upper gastrointestinal hemorrhage; prognostic scores; surgery.