Relación entre escala Rockall y mortalidad en pacientes mayores de edad con hemorragia digestiva alta no variceal en el Hospital IESS Milagro durante el año 2020.

Abstract

Introduction: Upper gastrointestinal bleeding is all bleeding from the digestive tract proximal to the angle of Treitz and can be of variceal or non-variceal origin. The purpose of this research was to demonstrate the predictive value of mortality of the Rockall scale in patients with upper gastrointestinal bleeding treated at the Hospital IESS Milagro. Materials and methods: An observational, retrospective and analytical case-control study was conducted in adults with Upper Digestive Bleeding during the year 2020, by reviewing the medical records of the AS400 system of the Milagro General Hospital. Results: It was observed that non-variceal upper gastrointestinal bleeding was more frequent in patients aged 60 to 79 years and in male cases ( n=100.52.1%), then it was found that score 1 was the most frequent (n=33, 17.2%), but the best cut-off point was score 4 (sensitivity: 64%, specificity 26%, Youden index 38%, PPV 3%, NPV 92%). Conclusions: Adults older than 60 years and men have a higher prevalence of upper gastrointestinal bleeding. At Milagro General Hospital, most patients do not qualify with a high Rockall score. The efficacy of the Rockall scale demonstrated in this study will allow us to safely classify those above the cut-off point of 4 as having a high risk of death due to the high specificity obtained by the ROC curve.