Evaluation of Risk Scores in Upper Gastrointestinal Bleed: Correlation with Clinical Outcomes and Admission Necessity (T0162)

Introduction: Upper gastrointestinal bleeding (UGIB) is a common medical emergency associated with high morbidity and mortality. Effective risk stratification tools are essential to guide clinical decisions, particularly regarding the need for hospitalization and the anticipation of clinical outcomes. Various risk scores, such as the Glasgow-Blatchford score (GBS) and the Rockall score, have been developed to assess the severity of UGIB and predict patient outcomes.

Aims and Objectives:

1. To calculate various risk scores in patients with UGI Bleed
2. To find correlation between various scores and clinical outcomes
3. Assess need for admission

Methods: A retrospective analysis was conducted on patients presenting with UGIB over a one-year period. Risk scores (GBS and Rockall) were calculated upon admission, and clinical outcomes, including the need for admission, re-bleeding, surgical intervention, and mortality, were recorded. Data were analyzed using statistical methods to determine the correlation between risk scores and clinical outcomes.

Results: The study found a significant correlation between higher risk scores and worse clinical outcomes, including increased hospital admission rates, need for intervention, and mortality. The GBS was particularly effective in predicting the necessity for admission, while the Rockall score demonstrated a stronger correlation with adverse clinical outcomes.

Conclusion: Risk scores like the GBS and Rockall are valuable tools in managing UGIB, with distinct advantages in guiding clinical decisions regarding admission and predicting clinical outcomes. These tools can optimize resource utilization and improve patient care.

Keywords: Upper gastrointestinal bleed, Risk scores, Glasgow-Blatchford score, Rockall score, Clinical outcomes, Hospital admission.