Índice de Rockall como herramienta predictiva para endoscopia terapéutica de emergencia en pacientes con hemorragia digestiva alta mayores de 40 años en el Hospital General Monte Sinaí en el año 2019.

Abstract

Introduction: Upper gastrointestinal bleeding (UGH) is a common medical emergency, with a reported mortality of 2 to 10%. Patients identified as being at very low risk of needing intervention or dying can be treated as outpatients. Objective: To apply the Rockall index as a predictive tool for emergency therapeutic endoscopy in patients with non-variceal upper gastrointestinal bleeding over 40 years of age at the Monte Sinaí General Hospital in 2019. Materials and Methods: To carry out the present investigation, designed a retrospective, analytical, cross-sectional and non-experimental cohort study. Results: Rockall index, the analysis revealed that 25.8% (23) of participants obtained a score> 5, placing them at high risk, 37.1% (33) showed an intermediate risk with a score between 3-5 and in the same percentage with a score between 0-2 showed low risk. Consequently, in patients (23) at high risk, 65.2% received endoscopic treatment, at medium risk (33) 54.5% received it, and at low risk (33) 2%. Conclusion: Based on the COR curves, the Rockall index proved to be a good predictor of risk of bleeding and mortality, being useful and necessary in the management of non-variceal upper gastrointestinal bleeding.