Usefulness of the Modified Rockall and Baylor Scales in Hemorrhage Upper Digestive Due to Peptic Ulcer

Introduction: Upper gastrointestinal hemorrhage is a common health problem worldwide and one of the emergencies determining a huge number of admissions into general surgery services in our scenario, it is therefore of great clinical and sanitary importance.

Objective: To determine the usefulness of the modified Rockall and Baylor scores in predicting rebleeding in patients with upper gastrointestinal hemorrhage.

Method: A prospective, descriptive, observational study was carried out, including patients admitted for upper gastrointestinal hemorrhage due to peptic ulcer in Enrique Cabrera, from January 1st, 2018 to december 31, 2022. 

Results: Among the 300 patients admitted for upper digestive hemorrhage due to peptic ulcer, we took a sample of 71 patients. All patients were performed endoscopic treatment, while 8.4% were performed surgical treatment. Nine patients presented with rebleeding (12.7%). The modified Rockall and Baylor scores showed a specificity of 82% and 86%, respectively, with low sensitivity in both cases. Despite this, the Rockall score is the one with the highest sensitivity.

Conclusion: The two score were highly specific, but the Rockall score was more sensitive for identifying patients at high risk of rebleeding.