COMPARISON OF AIMS65, GLASGOW–BLATCHFORD SCORE, AND ROCKALL SCORE IN A TUNISIAN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING
Elleuch Nour*, Sonda Jardak, Asma Sabbek, Hammami Aya, Ben Slama Aida, Jaziri Hanen, Brahem Ahlem, Ajmi Salem, Ksiaa Mehdi and Jmaa Ali
ABSTRACT
Objective: The aim of this study was to assess the use of the main pronostic scores (AIMS65, Glasgow–Blatchford score and Rockall score) in upper gastrointestinal bleeding and to compare the performance of each score with regard to mortality, rebleeding and transfusion requirements. Methods: We performed a retrospective study including patients with upper gastrointestinal bleeding admitted in the hepato-gastroenterology department of Sousse between January 2018 and September 2018. Rockall score, Blatchford score and AIMS65 were calculated for each patient. The data was analyzed by the area under the curve ROC (Receiver Operating Characteristic). Results: A total of 110 patients were included in this study. Mean age was 59.3 (16-95 years). The sex ratio was 2.23 (M/F=76/34). The main causes of upper gastrointestinal bleeding were peptic ulcer (47.3%), portal hypertension (21.8%), a neoplasia (5.5%) and Mallory-Weiss syndrome (3.6%). The mortality rate and rebleeding was 0.9% and 10% respectively. In the evaluation of mortality, it was found an area under the curve ROC for AIMS65 score: 1, Rockall score: 0.95 and Glasgow-Blatchford: 0.89 (p=0.2) to predict rebleeding AIMS65 score: 0.5, Rockall score: 0.76 and the Glasgow-Blatchford score: 0.57 (p<0.05) and transfusion requirements of more than 2 globular packages AIMS65 score: 0.58, Rockall score: 0.52 and the Glasgow-Blatchford score: 0.59 (p=0.45). Conclusion: All of the studied scores are good predictors of mortality with superiority for the AIMS65. The results were less satisfactory with regard to rebleeding and transfusion requirements which confirm that the role of prognostic scores is limited of course to assit, clinical judgment remains fundamental in the management of upper gastrintestinal bleeding.
Keywords: Upper gastrointestinal bleeding, AIMS65, Glasgow–Blatchford score, Rockall score.
[Full Text Article]
[Download Certificate]