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SIGNIFICANCE OF FORREST CLASSIFICATION, ROCKALL’S AND BLATCHFORD’S RISK SCORING SYSTEM IN PREDICTION OF REBLEEDING IN PEPTIC ULCER DISEASE

Author(s): Edvin Hadzibulic | Svjetlana Govedarica

Journal: Acta Medica Medianae ISSN 0365-4478
Volume: 46; Issue: 4; Start page: 38; Date: 2007;
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Keywords: Forrest classification | Rockall score | Blatchford score

ABSTRACT
Prediction of the risk in patients with upper gastrointestinal bleeding has been the subject of different studies for several decades.This study showed the significance of Forrest classification, used in initial endoscopic investigation for evaluation of bleeding lesion, for the prediction of rebleeding.Rockall and Blatchford risk score systems evaluate certain clinical, biochemical and endoscopic variables significant for the prediction of rebleeding as well as the final outcome of disease.The percentage of rebleeding in the group of studied patients in accordance with Forrest classification showed that the largest number of patients belonged to the FIIb group. The predictive evaluation of initial and definitive Rockall score was significantly associated with percentage of rebleeding, while Blatchfor score had boundary significance.