CLINICAL PROFILE OF NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING IN NORTH-EAST INDIA WITH SPECIAL REFERENCE TO SEVERITY OF BLEEDING

Ankur Bhattacharyya, Subhalakshmi Das

Abstract


Background: Upper gastrointestinal bleeding (UGIB) is a common life threatening emergency with an overall mortality rate around 10%.
Complete Rock all Score is designed to identify patients who are at great risk for adverse outcome. The aim of this study was to study the clinical
profile and severity assessment of non-variceal upper gastrointestinal bleeding.
Methods: This study was an observational study conducted where 303 cases with age more than or equal to 13 years were selected. Severity of
bleeding was assessed with complete Rock all Scoring. The statistical significance was fixed at 5% level (p value <0.05)
Results: The mean age of the study was 46.56±16.40 years with male: female ratio 3.21: 1. Majority of patients (54.79%) presented with both
hematemesis and melena. The most common lesion was duodenal ulcer (37.62%). Forrest grade III ulcers were found in maximum of patients
(46.60%). The mean blood transfusion was 1.26 ± 1.27 units. The mean Rock all score was 2.74 ± 1.94. Out of 16 patients expired, 37.50%
belonged to moderate and 62.50% belonged to high risk Rock all group. Statistically significant correlation was observed (p value <0.001).
Conclusion: Acute UGI bleeding is a medical emergency and Rock all score helps in anticipating prognosis. Rock all scoring system should ideally
be used at the time of hospitalization for appropriate and cost effective hospital management.


Keywords


Rockall, non-variceal, upper gastrointestinal bleed

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