The Blatchford’s Score to predict outcome in Upper GI bleeding in Burirum Hospital

Abstract

Introduction: There are many methods to evaluate severity of upper gastrointestinal bleeding such as Rockall scores or Blatchford scores Five parameters in Blatchford scores are blood urea nitrogen (BUN), hemoglobin concentration, systolic blood pressure and comorbidity diseases. The Blatchford scores were used to stratify patients into high and low risk group to determine appropriate care and identify their potential need for active treatment.
Methods: The cross-sectional study from Burirum medical records of adult patients with upper gastrointestinal bleeding during October 1st 2002 until September 30 th 2003 were studied by using simple randomization. We determine Blatchford scores from 5 parameters and outcome of treatment.
Statistical methods: We used odds ratio, mean and 95%CI.
Results: There were 385 records in this study. The overall mortality rate were 13.13% (9.81-17.07). The patients with Blatchford scores more than 13 were higher mortality the odd ratio were 1.85 (1.05-3.07). The odd ratio for gastroscope and length of hospital stay were 1.35 (1.05-1.74) and 1.00 (0.87-1.15) respectively.
Conclusion: The Blatchford scores could identified severity of patients with upper gastrointestinal bleeding at low or high risk of needing treatment to manage their bleeding The patients with scores more than 13 were higher mortality rate need of gastroscope and increased length of hospital stay.