BLATCHFORD SCORE IN PROGNOSIS OF GASTROINTESTINAL BLEEDING PATIENTS CAUSED BY PEPTIC ULCER
Background: Gastrointestinal bleeding in general and gastrointestinal bleeding from peptic ulcer is the most common internal medical emergency especially in digestive diseases. The evaluation of rebleeding is important problems in treatment and prognosis. Thereby improving the quality of treatment and reduce the dead rate for patients, the Blatchford score is a screening tool to evaluate patients gastrointestinal bleeding that help for the medical intervention such as blood transfusion, endoscopic therapy or surgical hemostasis or not. Objectives: 1. Investigating the mean value of Blatchford score according to the location, the causes and the severity of bleeding and the type of lesions by the Forrest’s classification. 2 Comparising the value of Blatchford score with Rockall score in prognosis of the upper gastrointestinal bleeding due to. Subjects and Methods: Prospective cohort study of 101 patients with gastrointestinal bleeding due to gastroduodenal disease treated at Hue Central Hospital from 12/ 2011 to April 2013. The data were processed by SPSS ver 19.0. Results: The average Blatchford patient group 7.91 ± 3.81 research, medical interventions accounted for 60.40 %. Lesions in the stomach Blatchford average 7.37 ± 4.12, duodenum 9.13 ± 4.16, lesions both gastroduodenal 8.52 ± 2.23. Blatchford point average of group causes ulcers 8.48 ± 3.74, ulcerative colitis with a 8.46 ± 3.13, inflammation 5.83 ± 4.20. Blatchford point average of group severe hemorrhagic 10.20 ± 2.10 points, just 8.04 ± 3.67 hemorrhage, minor hemorrhage 3.37 ± 2.48, Blatchford point average of at risk groups Forrest high point of 10.08 ± 3.57, 7.59 ± Forrest low risk of 3.76 points, - Percentage of patients Blatchford score > 6 / patient Blatchford score ≤ 6, in both gastric lesions and duodenal lesions is higher than a position or in the stomach or duodenum) and in duodenum were higher in the stomach (10.49/1 from 3/1 and 1.82/1); Blatchford score of ulcerative lesions was higher than that of purely inflammatory lesions; Level Blatchford bleeding score as high as heavy. The difference is statistically significant with p < 0.01; Forrest high risk group Blatchford score higher than low risk - Blatchford scoring higher sensitivity Rockall score (91.80% against 77.05%). The positive predictive value of Blatchford score higher than Rockall score (76.71% compared with 73.44%). Conclusion: The average Blatchford's research group patients 7.91±3.81; Ulcerative lesions with higher points Blatchford merely inflammatory lesions; Level Blatchford bleeding score higher the more severe; Forrest high risk group Blatchford score higher than low risk; Rockall and Blatchford scoring system is valuable in prognostic evaluation requires medical intervention. Blatchford scoring higher sensitivity Rockall score. Keywords: Gastroduodenal disease, Blatchford score, gastrointestinal bleeding