GIÁ TRỊ THANG ĐIỂM TRONG TIÊN LƯỢNG GLASGOW BLACTHFORD SCALE, ROCKALL VÀ T-SCORE TRONG XUẤT HUYẾT TIÊU HÓA DO LOÉT DẠ DÀY TÁ TRÀNG TẠI KHOA CẤP CỨU

Abstract

The study aimed to find the value of some scoring scales in emergency prognosis of patients with upper gastrointestinal bleeding (GI) due to peptic ulcers at the Emergency Department, Nghe An General Hospital. The study described the Glasgow Blacthford Scale (GBS), Rockall and T-score at the time of patient admission, with patient data obtained after 72 hours of admission. Results of retrospective medical records of 89 patients; Average age 66.3±16.0; male 56.2%; 67.4% had concomitant medical diseases; 29.2% had a history of peptic ulcers. The rate of patients required the endoscopic hemostatic intervention was 16.9%; Re-bleeding due to peptic ulcers in 4.5% and death in 2.2%. T-score and GBS had high value in predicting bleeding due to peptic ulcer requiring hemostatic intervention, blood transfusion, re-bleeding and death. The GBS score had the highest AUC in predicting hemostatic intervention and blood transfusion, while the value of the T-score has the highest AUC in predicting re-bleeding and death from bleeding due to peptic ulcers.