ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ TIÊN LƯỢNG BẰNG THANG ĐIỂM ROCKALL Ở CÁC BỆNH NHÂN XUẤT HUYẾT TIÊU HÓA DO LOÉT DẠ DÀY TÁ TRÀNG TẠI KHOA NỘI 1 - BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP NĂM 2024

Abstract

The study investigated the clinical and paraclinical characteristics, some related factors and the prognostic value of the Rockall score in patients with gastrointestinal bleeding due to peptic ulcers at Internal department 1, Viet Tiep Friendship Hospital, 2024. Cross-sectional, prospective descriptive study on 105 patients showed an average age of 52.5 ± 18 years; the percentage of male is 69.5%; History of cardiovascular disease; bone and joint diseases accounts for the high rate of 41% and 47.6% respectively. Fecal defecation occurred in 87.6% of patients, 66.7% had epigastric pain and hematemesis accounted for 37.1%. Mean hemoglobin concentration was 90.3 ± 22.3 g/L. Duodenal bulb is the most common ulcer site with 44.8%, antrum 32.4%; The number of patients with ulcer size ≥ 2cm accounts for 9.5%. Forrest Ia accounts for the lowest rate at 2.9%, while Forrest III accounts for the highest rate at 41.9%. Age is related to the number of ulcers with p < 0.05 while Hemoglobin is related to melena. The full Rockall and clinical Rockall score is valuable in predicting the rate of patients requiring blood transfusion, rebleeding and transfusion.