Rockall score

Rockall score

Rockall risk scoring system attempts to identify patients at risk of adverse outcome following acute upper gastrointestinal bleeding. Rockall et al identified independent risk factors which were later shown to predict mortality accurately. The scoring system uses clinical criteria (increasing age, co-morbidity, shock) as well as endoscopic finding (diagnosis, stigmata of acute bleeding). It is named for Professor Tim Rockall, who was the main investigator and first author of the studies that led to its formulation.

Variable Score 0 Score 1 Score 2 Score 3
Age <60 60- 79 >80
Shock No shock Pulse >100 SBP <100
Comorbidity Nil major CCF, IHD, major morbidity Renal failure, liver failure, metastatic cancer
Diagnosis Mallory-weiss All other diagnoses GI malignancy
Evidence of bleeding None Blood, adherent clot, spurting vessel

Interpretation

Total score is calculated by simple addition. A score less than 3 carries good prognosis but total score more than 8 carries high risk of mortality.

See also

Forrest classification

References

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