TITLE:
Comparison of Prognostic Scores for Upper Gastrointestinal Bleeding in the Hepato-Gastro-Enterology Department of Campus Teaching Hospital of Lome
AUTHORS:
Aklesso Bagny, Lidawu Roland-Moïse Kogoe, Late Mawuli Lawson-Ananissoh, Laconi Yeba Kaaga, Debehoma Redah, Mawunyo Henoc Gbolou, Yendoukoa Yves Kanake
KEYWORDS:
Upper Gastrointestinal Bleeding, Prognostic Scores, Rockall, Glas-gow-Blatchford, AIMS65, Lome
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.11 No.9,
September
10,
2021
ABSTRACT: 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.