E-ISSN 2534-9821
 

Original Research
Online Published: 04 Feb 2023
 


Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome

Sahil Kataria, Luke Joseph, Sargam Goel, Pratyush Sharan Singhal, Rajat Grover, Rohan Aggarwal.


Abstract
Background: Early risk stratification of patients with upper gastrointestinal bleeding (UGIB) is of utmost importance for a favourable patient outcome. It ensures patient triaging into the appropriate level of care, avoiding unnecessary and prolonged hospitalisations on one end and rapid identification of high-risk patients for emergent management on the other.
Methods: This prospective observational study was carried out on 150 patients who met the inclusion criteria. Demographic data, baseline lab parameters, Rockall scores, endoscopic interventions, re-bleeding, duration of hospital stay and mortality were recorded. Based on the Rockall scores, patients were divided as low, moderate and high risk.
Results: Variceal bleeding was the most common cause of UGIB (34%). The need for therapeutic endoscopy, risk of re-bleeding and duration of hospital stay were proportional to the severity of the risk as per Rockall score (p-value < 0.01). Among the study subjects, one patient in high-risk category expired.
Conclusion: Rockall scoring system helps in the risk stratification of UGIB patients and hence early intervention in high-risk patients. Higher scores are associated with poor patient outcomes.

Key words: Rockall score; upper gastrointestinal bleeding; endoscopy; mortality; rebleeding


 
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How to Cite this Article
Pubmed Style

Kataria S, Joseph L, Goel S, Singhal PS, Grover R, Aggarwal R, . Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. Int J Med Rev Case Rep. 2023; 7(2): 7-12. doi:10.5455/IJMRCR.172-1667031219


Web Style

Kataria S, Joseph L, Goel S, Singhal PS, Grover R, Aggarwal R, . Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. https://www.mdpub.net/?mno=125470 [Access: October 13, 2024]. doi:10.5455/IJMRCR.172-1667031219


AMA (American Medical Association) Style

Kataria S, Joseph L, Goel S, Singhal PS, Grover R, Aggarwal R, . Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. Int J Med Rev Case Rep. 2023; 7(2): 7-12. doi:10.5455/IJMRCR.172-1667031219



Vancouver/ICMJE Style

Kataria S, Joseph L, Goel S, Singhal PS, Grover R, Aggarwal R, . Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. Int J Med Rev Case Rep. (2023), [cited October 13, 2024]; 7(2): 7-12. doi:10.5455/IJMRCR.172-1667031219



Harvard Style

Kataria, S., Joseph, L., Goel, S., Singhal, P. S., Grover, R., Aggarwal, R. & (2023) Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. Int J Med Rev Case Rep, 7 (2), 7-12. doi:10.5455/IJMRCR.172-1667031219



Turabian Style

Kataria, Sahil, Luke Joseph, Sargam Goel, Pratyush Sharan Singhal, Rajat Grover, Rohan Aggarwal, and . 2023. Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. International Journal of Medical Reviews and Case Reports, 7 (2), 7-12. doi:10.5455/IJMRCR.172-1667031219



Chicago Style

Kataria, Sahil, Luke Joseph, Sargam Goel, Pratyush Sharan Singhal, Rajat Grover, Rohan Aggarwal, and . "Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome." International Journal of Medical Reviews and Case Reports 7 (2023), 7-12. doi:10.5455/IJMRCR.172-1667031219



MLA (The Modern Language Association) Style

Kataria, Sahil, Luke Joseph, Sargam Goel, Pratyush Sharan Singhal, Rajat Grover, Rohan Aggarwal, and . "Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome." International Journal of Medical Reviews and Case Reports 7.2 (2023), 7-12. Print. doi:10.5455/IJMRCR.172-1667031219



APA (American Psychological Association) Style

Kataria, S., Joseph, L., Goel, S., Singhal, P. S., Grover, R., Aggarwal, R. & (2023) Rockall score in Upper Gastrointestinal Bleeding: Risk stratification and prognostic outcome. International Journal of Medical Reviews and Case Reports, 7 (2), 7-12. doi:10.5455/IJMRCR.172-1667031219