Objective: This study aimed to compare the performances of the Glasgow-Blatchford Bleeding Score (GBS), pre-endoscopic Rockall score (PRS), complete Rockall score (CRS), and Cedars-Sinai Medical Center Predictive Index (CSMCPI) in predicting clinical outcomes in patients with upper gastrointestinal bleeding (UGIB).
The most widely quoted are the Glasgow-Blatchford Bleeding Score (GBS)4,5 and the pre-endoscopic Rock all score (PRS)6,7, both of which consider only pre-endoscopy criteria, and the complete Rockall score (CRS)8,9 and the Cedars- Sinai Medical Center Predictive Index (CSMCPI),10-12 both of which have additional endoscopic criteria.
Rockall score (RS) is the first established and validated scoring system [10].
Applying the risk scores used to stratify UDB patients, we noticed that mean
Rockall score in Dieulafoy group was significantly higher compared to the batch without Dieulafoy (6 [+ or -] 2.44 vs.
Portal hypertension with
Rockall score of 5 or more was the only cause of mortality in this study.
The Glasgow-Blatchford risk score (11) (GBS) and the pre- and post-endoscopic
Rockall score (7) have been compared to predict clinical outcomes such as 30-day mortality, the need for hospital-based intervention, blood transfusion, the likelihood of re-bleeding, surgical intervention and, the suitability for early discharge.
Though the
Rockall score has been validated for variceal haemorrhage the Child-Pugh score [15] (Table 3) is most commonly used to stratify risk.
(1) Stratification systems, such as the
Rockall score and Forrest classification, which are based on clinical and endoscopic factors, respectively, define those at high risk.
The best studied scoring systems are the Glasgow Blatchford Score (GBS) and the Clinical
Rockall score [4-9].
Though the
Rockall score has been validated for variceal haemorrhage the Child-Pugh score (15) (Table 3) is most commonly used to stratify risk.
that this scoring system was better than
Rockall score in predicting rebleeding and mortality as well [4].
Among the different score systems include full
Rockall scores, Glasgow-Blatchford score (GBS), pre-endoscopy Rockall, andAIMS65 score.