Comparative Study on Rockall and Blatchford Scoring System for Risk Assessment of Acute Nonvariceal Upper Gastrointestinal Bleeding
10.3969/j.issn.1008-7125.2017.02.007
- VernacularTitle:Rockall和Blatchford评分系统对急性非静脉曲张性上消化道出血的风险评价比较
- Author:
Mingli FENG
;
Lijun XU
;
Jiyun TIAN
;
Qin CAO
;
Xiaochun WANG
- Keywords:
Rockall Scoring System;
Blatchford Scoring System;
Gastrointestinal Hemorrhage;
Risk Assessment;
Blood Transfusion;
Surgical Procedures;
Operative;
Death
- From:
Chinese Journal of Gastroenterology
2017;22(2):96-99
- CountryChina
- Language:Chinese
-
Abstract:
Acute nonvariceal upper gastrointestinal bleeding (ANVUGIB)is a commonly seen gastrointestinal emergency.Rockall and Blatchford scoring system are commonly used for risk stratification in ANVUGIB.Aims:To investigate the predictive values of Rockall and Blatchford scoring system for assessing the risk of blood transfusion,surgical intervention and mortality in patients with ANVUGIB.Methods:Five hundred and ninety hospitalized patients with ANVUGIB were scored by Rockall and Blatchford scoring system,respectively.Predictive values of these two scoring systems for assessing the risk of blood transfusion,surgical intervention and mortality were assessed by area under the receiver operating characteristic (ROC)curve (AUC).Results:Rockall and Blatchford scores in patients with blood transfusion,surgical intervention and died were significantly higher than those in patients without blood transfusion,surgical intervention and survived (P <0.01 ).The AUC of Rockall scoring system for predicting blood transfusion,surgical intervention and mortality were 0.785 (95% CI:0.743-0.828,P=0.000),0.765 (95% CI:0.693-0.837,P=0.000),0.835 (95% CI:0.703-0.966,P=0.005),respectively.The AUC of Blatchford scoring system for predicting blood transfusion,surgical intervention and mortality were 0.812 (95%CI:0.775-0.848,P=0.000),0.870 (95%CI:0.811-0.930,P=0.000),0.784 (95% CI:0.614-0.954,P=0.017),respectively.Conclusions:Rockall and Blatchford scoring system have high predictive value for blood transfusion,surgical intervention and mortality in patients with ANVUGIB.Rockall scoring system is better for predicting mortality,while Blatchford scoring system is better for predicting blood transfusion and surgical intervention.
