| Summary: | Background: Upper gastrointestinal bleed (UGI Bleed) is
common emergencies contributing to hospitalization and
associated morbidity and mortality. Numerous scoring
systems have been designed to assess risk factors for morbid
outcome. Aim and Objectives: To study demographic and
clinical profile of patients with UGI bleed. To study the
aetiology of patients with UGI bleed. To study utility of
Rockall system and correlate severity of bleed with
outcome. Material and Methods: This observational cross-
sectional study was carried out at a tertiary care hospital.
Study was carried out on patients presenting with UGI bleed
and who consented to participate. Ethical committee
approval was obtained. Relevant data of eligible patients
over two years was collected. Data collected was compiled
using excel sheet and analysed with Graph Pad Prism
Version V. Results reported in terms of mean, percentages
and p-value. P-value <0.05 was considered statistically
significant. Results: Mean age was 44.73 years with range
of 18-82 years. Males were 72% of and females 28%.
Majority, 54% presented with hematemesis, 24% had
melena, while 22% had both. Alcohol intake was found in
84 (56%) patients. 54.6% patients had variceal bleed and
45.3% had non-variceal bleed. Eleven patients (15.37%)
with moderate category had re-bleeding while 1(50%) had
re-bleed in severe category. There was no mortality amongst
low and moderate categories and 50% mortality in severe
category. Conclusion: UGI bleed commonly presents as
hematemesis, seen in middle-aged males with significant
alcohol intake. Higher Rockall score was associated with
transfusion requirement, occurrences of rebleed and
mortality.
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