The Importance of Rockall Scoring System for Upper Gastrointestinal Bleeding in Long-Term Follow-Up

Indian J Surg. 2017 Jun;79(3):188-191. doi: 10.1007/s12262-015-1434-1. Epub 2016 Jan 14.

Abstract

The aim of the study is to examine the importance of Rockall scoring system in long-term setting to estimate re-bleeding and mortality rate due to upper gastrointestinal bleeding. A total of 321 patients who had been treated for upper gastrointestinal bleeding were recruited to the study. Patients' demographic and clinical data, the amount of blood transfusion, endoscopy results, and Rockall scores were retrieved from patients' charts. The re-bleeding, morbidity, and mortality rates were noted after 3 years of follow-up with telephone. Re-bleeding rate was statistically significantly higher in Rockall 4 group compared to Rockall 0 group. Mortality rate was also statistically significantly higher in Rockall 4 group. Rockall risk scoring system is a valuable tool to predict re-bleeding and mortality rates for patients with upper gastrointestinal bleeding in long-term setting.

Keywords: Mortality; Re-bleeding; Rockall scoring system; Upper gastrointestinal bleeding.