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359583

Prediction of clinical outcome in patients with nonvariceal gastrointestinal bleeding using Forrest classification and Rockall score

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Last updated: 29 Dec 2024

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Abstract

Background
Predicting outcome of upper gastrointestinal bleeding has significant importance to reduce mortality, duration of hospital stay, and medical cost.
Objective
The aim was to investigate the predictive value of Forrest classification and Rockall score in assessing rebleeding rate and mortality rate in patients with nonvariceal gastrointestinal bleeding (NVUGIB).
Patients and methods
A total of 518 patients with NVUGIB from January 2013 to July 2017 were enrolled in this retrospective study. Logistic regression analysis was used to assess the association between these scores and clinical outcome.
Results
Forrest classification is significantly associated with rebleeding, whereas Rockall score is closely associated with mortality. The risks of rebleeding in patients with Forrest Ia-b [odds ratio (OR): 39.2; 95% confidence interval (CI):19.2–79.8], FIIa (OR: 29.7; 95% CI:13.5–65.4), and FIIb (OR: 6.5; 95% CI: 3.0–14.1) were significantly increasing compared with FIII. The risks of mortality in patients with Rockall score 4–6 (OR: 9.4; 4.1–21.6), 7–11 (OR: 101.5; 50.2–205.3), were significantly increasing compared with the group with Rockall score less than 4.
Conclusion
Forrest classification can be used as a predictor for rebleeding and Rockall score can be used as a predictor for mortality in patients with NVUGIB.

DOI

10.4103/kamj.kamj_20_18

Keywords

Forrest classification, nonvariceal upper gastrointestinal bleeding, Rockall score

Authors

First Name

Nam Hun

Last Name

Jong

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First Name

Hye Song

Last Name

Kim

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First Name

Chol Jin

Last Name

Han

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Volume

24

Article Issue

2

Related Issue

48356

Issue Date

2018-05-01

Receive Date

2018-06-07

Publish Date

2018-05-01

Print ISSN

1687-4625

Online ISSN

2356-8097

Link

https://kamj.journals.ekb.eg/article_359583.html

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https://kamj.journals.ekb.eg/service?article_code=359583

Order

359,583

Publication Type

Journal

Publication Title

Kasr Al Ainy Medical Journal

Publication Link

https://kamj.journals.ekb.eg/

MainTitle

Prediction of clinical outcome in patients with nonvariceal gastrointestinal bleeding using Forrest classification and Rockall score

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Type

Article

Created At

29 Dec 2024