Rockall score

Pre endoscopic score
Age (years) <60+0
>60-79+1
>=80+2
Shock No-Pulse<100/minute, SBP >100 mm Hg +0
Pulse>100/minute, SBP>100 mm Hg +1
Yes- pulse >100/minute, SBP <100 mm Hg+2
Comorbidity No major comorbidity+0
Cardiac failure, IHD, any other major comorbidity+2
Renal failure, liver failure, disseminated malignancy+3
ScorePoints

A pre endoscopic score of 0 identifies extremely low risk of rebleed or death and may be suitable for early discharge or non admission.

Post endoscopic score
Age (years) <60+0
>60-79+1
>=80+2
Shock No-Pulse<100/minute, SBP >100 mm Hg +0
Pulse>100/minute, SBP>100 mm Hg +1
Yes- pulse >100/minute, SBP <100 mm Hg +2
Comorbidity No major comorbidity+0
Cardiac failure, IHD, any other major comorbidity+2
Renal failure, liver failure, disseminated malignancy+3
Diagnosis Mallory- Weiss tear, no lesion identified and SRH+0
All other diagnoses+1
Malignancy of upper GI tract+2
Major Stigmata of Recent Haemorrhage (SRH) None or dark spot only+0
Blood in upper GIT, adherent clot, visible or spurting vessel+2
ScorePoints

The Rockall score was designed to estimate the risk of rebleeding or death in patients with upper GI bleed. A score of 0 (pre endoscopic) identifies extremely low risk of rebleed or death and may be suitable for early discharge or non admission. Patients with a full (post endoscopic) Rockall score of < 3 have a low risk of re bleeding or death and can be considered for early discharge.

Reference:

  1. Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut 1996;38(3):316-21.
  2. Sanders DS, Carter MJ, Goodchap RJ, Cross SS, Gleeson DC, Lobo AJ. Prospective validation of the Rockall risk scoring system for upper GI hemorrhage in subgroups of patients with varices and peptic ulcers. Am J Gastroenterol 2002;97(3):630-5

Disclaimer:
The calculators allow you to enter patient specific information to calculate a simple score. All information is provided for educational purposes only. This information is not intended to replace clinical judgement. All calculations must be rechecked and should not be used alone to guide patient care. The user assumes sole responsibility for any decisions or action taken based on the information contained here.