title: [Validation of the Rockall score in elderly patients with non variceal upper gastrointestinal bleeding in a third level general hospital].
abstract: OBJECTIVE
  To validate the Rockall score in elderly patients with non variceal upper gastrointestinal bleeding, in terms of mortality and recurrent bleeding at 30 days follow-up.
  
  
  METHODS
  Patients older than 60 year-old, with non variceal upper gastrointestinal bleeding demonstrated by endoscopy, who were attended in a third level general hospital from June 2009 to June 2013, were included. Data was analyzed with the ROC (Receiver Operating Characteristic) curve. The area under curve was obtained to assess the Rockall score.
  
  
  RESULTS
  One hundred ninety patients were included, 64.2% were males, with an average age of 74 years old. Overall mortality was 16.8% and respiratory failure with second bleeding episode was the most common cause of death (34.3% and 31.3% respectively). 5.52% of patients presented a second bleeding episode. A transfusion of more than 2 blood-packs was needed in the 24.7% of the patients. The area under ROC curve using the Rockall score was 0,76 (IC: 0.68-0.84) for mortality risk, 0.71 (IC: 0.55-0.88) for the risk of rebleeding and 0.66 (IC: 0.58-0.74) for needing a more than 2 blood-packs transfusion.
  
  
  CONCLUSIONS
  Rockall score is a good predictor for mortality and rebleeding during the 30 day-period after a non-variceal bleeding episode in elderly patients. The best sensibility and specificity was obtained with the scores of 5 and 6, respectively.
authors: Servicio de Gastroenterología, Hospital Nacional Cayetano Heredia. Lima, Perú.
authors: Carlos
authors: C
authors: García Encinas
authors: Servicio de Gastroenterología, Hospital Nacional Cayetano Heredia. Lima, Perú; Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú.
authors: Eduar
authors: E
authors: Bravo Paredes
authors: Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú.
authors: Patricia
authors: P
authors: Guzmán Rojas
authors: Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú.
authors: Roxana
authors: R
authors: Gallegos López
authors: Facultad de Medicina, Universidad Peruana Cayetano Heredia. Lima, Perú.
authors: Manuel
authors: M
authors: Corzo Maldonado
authors: Servicio de Gastroenterología, Hospital Nacional Cayetano Heredia. Lima, Perú.
authors: Víctor
authors: V
authors: Aguilar Sánchez
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019540:Area Under Curve; D001803:Blood Transfusion; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D006769:Hospitals, General; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications / Q000175:diagnosis; D011379:Prognosis; D012372:ROC Curve; D012008:Recurrence; D012720:Severity of Illness Index