EARLY PREDICTORS OF OUTCOME IN BLEEDING OESPHAGEAL AND/OR GASTRIC VARICES IN THE EMERGENCY DEPARTMENT

Backgorund and Objective: Acute upper GIT bleeding is a life threatening emergency. Many scoring systems have been developed to evaluate patients with acute UGIB. The purpose of this study was to confirm value of Modified Blatchford scoring system, Full rockall score , AIM65 score &lactate level as a predictor of outcome as regard patient’s mortality, their need for ICU, duration of hospitalization and need for endoscopic intervention in the emergency department.

Patients an Methods: This study was performed on 100 patients who presented to the emergency department with acute UGIB in Alexandria main university hospital. All the study scores (GBS, AIMS65, PRS, and FRS) were able to predict the clinical outcomes in the UGIB patients.

Results: GBS was the best performing risk score among the four scores for predicting all the clinical outcomes except the prediction of endoscopic intervention. Lactate was a sensitive predictor for ICU admission, hospital stay, rebleeding and mortality during first 48 hrs of admission in patients presenting with UGIB.