Comparison of Prognostic Scores for Upper Gastrointestinal Bleeding in the Hepato-Gastro-Enterology Department of Campus Teaching Hospital of Lome

作     者：Aklesso Bagny Lidawu Roland-Moïse Kogoe Late Mawuli Lawson-Ananissoh Laconi Yeba Kaaga Debehoma Redah Mawunyo Henoc Gbolou Yendoukoa Yves Kanake Aklesso Bagny;Lidawu Roland-Moïse Kogoe;Late Mawuli Lawson-Ananissoh;Laconi Yeba Kaaga;Debehoma Redah;Mawunyo Henoc Gbolou;Yendoukoa Yves Kanake

作者机构：Departement of Gastroenterology Teaching Hospital Campus of Lome Lome Togo Departement of Gastroenterology University of Lome Lome Togo 

出 版 物：《Open Journal of Gastroenterology》 (肠胃病学期刊（英文）)

年 卷 期：2021年第11卷第9期

页      面：161-171页

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：Upper Gastrointestinal Bleeding Prognostic Scores Rockall Glas-gow-Blatchford AIMS65 Lome 

摘      要：Objective: To evaluate and compare the prognostic contribution of different UGIB prognostic scores. Patients and Method: Descriptive cross-sectional study with retrospective collection conducted from January 2014 to December 2019. Patients hospitalized in the Gastroenterology Department of Campus Teaching Hospital of Lome for upper gastrointestinal hemorrhage were included. The analytical component of this study had consisted of an evaluation of the sensitivity and specificity of different prognostic scores (GBS, mGBS, FRS, CRS, AIMS65) in predicting the occurrence of death and/or re-bleeding within 42 days. These different scores were compared using ROC (Receiver Operating Characteristic) curves. Results: We included 314 patients in our study. The male to female sex ratio was 2.48. Fibroscopy found non-related portal hypertension UGIB in 70.94% of the cases. The “FRS was the most accurate score in predicting death or re-bleeding in all patients. The “FRS was the most precise score in predicting the occurrence of spotting in all patients. The “FRS was the most accurate score in predicting death among all patients. The mortality of patients at low risk of death (below the threshold value) was 2.2% for the “FRS, 9.3% for the “CRS, 0% for the “GBS (p = 0.565), 50% for the “mGBS and 11.4% for the “AIMS65. Scores were more accurate for non-related portal hypertension UGIB. Conclusion: The “FRS and the “CRS are two precise scores in predicting the occurrence of an incident in the event of upper gastrointestinal hemorrhage. However, these scores were less effective in related portal hypertension UGIB.