Yarenis Perez Arias¹* and Pedro Rolando López Rodríguez²

¹First Degree Specialist in General Surgery, Instructor Professor, General Teaching Hospital Enrique Cabrera, Havana, Cuba
²First and Second Degree Specialist in General Surgery, Assistant Professor, Consulting Professor and Assistant Researcher, General Teaching Hospital Enrique Cabrera, Havana, Cuba

*Corresponding Author: Pedro Rolando López Rodríguez, First and Second Degree Specialist in General Surgery, Assistant Professor, Consulting Professor and Assistant Researcher, General Teaching Hospital Enrique Cabrera, Havana, Cuba.

Received: June 23, 2023; Published: July 21, 2023

Abstract

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, 2018 to december 31, 2022.

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.

 Keywords: Upper Gastrointestinal Hemorrhage; Prognostic Scores; Surgery

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Citation: Yarenis Perez Arias., et al. “Usefulness of the Modified Rockall and Baylor Scales in Hemorrhage Upper Digestive Due to Peptic Ulcer". Acta Scientific Clinical Case Reports 4.8 (2023): 25-28.

Copyright: © 2023 Yarenis Perez Arias., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.