the role of the rockall and Glasgow—Blatchford scales in prediction of recurrent upper gastrointestinal bleeding

Brekhov E.I.

Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russia

Repin I.G.

Federal state budgetary institution of additional professional education «Central State Medical Academy», General Management Department of the Presidential Administration, Moscow, Russia

Kalinnikov V.V.

Federal state budgetary institution of additional professional education «Central State Medical Academy», General Management Department of the Presidential Administration, Moscow, Russia

Repin D.I.

Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russia;
Clinical Hospital #1 of the Presidential Administration of the Russian Federation, Moscow, Russia

Timoshkin S.P.

Clinical Hospital #1 of the Presidential Administration of the Russian Federation, Moscow, Russia

the role of the rockall and Glasgow—Blatchford scales in prediction of recurrent upper gastrointestinal bleeding

Authors:

Brekhov E.I., Repin I.G., Kalinnikov V.V., Repin D.I., Timoshkin S.P.

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Journal: Russian Journal of Evidence-Based Gastroenterology. 2019;8(3): 20‑26

DOI: 10.17116/dokgastro2019803120

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To cite this article:

Brekhov EI, Repin IG, Kalinnikov VV, Repin DI, Timoshkin SP. the role of the rockall and Glasgow—Blatchford scales in prediction of recurrent upper gastrointestinal bleeding. Russian Journal of Evidence-Based Gastroenterology. 2019;8(3):20‑26. (In Russ.)
https://doi.org/10.17116/dokgastro2019803120

Подписка 2025-2 (Russian Journal of Evidence-Based Gastroenterology)

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Acute upper gastrointestinal (GI) bleeding is an actual problem of modern medicine. Prediction of recurrent bleeding after successful treatment is one of the main issues. There are various prognostic scales for the prognosis of recurrent bleeding. Objective — to optimize diagnosis and treatment of patients with acute upper GI bleeding via validity analysis and clinical introduction of the integrated prognostic scales Rockall and Glasgow—Blatchford in a modern multi-field hospital. Material and methods. The most reliable international scales Rockall and Glasgow—Blatchford were used because there is no implemented unified prognostic scale in Russia for the prediction of recurrent bleeding. A prospective study included 120 patients who were hospitalized with acute non-varicose upper GI bleeding. Patients were divided into groups of low (0—2 scores), medium (3—7 scores) and high risk (8—12 scores) in accordance with the Rockall scale and into groups of low (0—5 scores) and high risk (6—24 scores) in accordance with the Glasgow—Blatchford scale. Prognosis was calculated using these scores and compared with actual clinical outcomes. These data were studied using logistic regression and ROC analysis. We assessed sensitivity, specificity of the method and validity of the scales. Results. Patients with low scores on both scales are characterized by the minimal likelihood of recurrent bleeding. Increased risk of recurrent bleeding is observed in patients with Rockall score 8—12 and Glasgow—Blatchford score 6—24. Conclusion. High validity of the Rockall and Glasgow — Blatchford scales has been proven in predicting recurrent upper gastrointestinal bleeding. Rockall scale is characterized by a more reliable prognosis.

Keywords:

upper gastrointestinal bleeding

recurrent bleeding

prognostic scales

Authors:

Brekhov E.I.

Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russia

Repin I.G.

Federal state budgetary institution of additional professional education «Central State Medical Academy», General Management Department of the Presidential Administration, Moscow, Russia

Kalinnikov V.V.

Federal state budgetary institution of additional professional education «Central State Medical Academy», General Management Department of the Presidential Administration, Moscow, Russia

Repin D.I.

Timoshkin S.P.

Clinical Hospital #1 of the Presidential Administration of the Russian Federation, Moscow, Russia

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