Rockall score

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

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^[1] 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).

Variable^[2]	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^[3].

References

↑ Rockall TA, Logan RF, Devlin HB, Northfield TC (1996). “Risk assessment after acute upper gastrointestinal haemorrhage”. Gut. 38 (3): 316–21. PMID 8675081.
↑ “Non-variceal upper gastrointestinal haemorrhage: guidelines”. Gut. 51 Suppl 4: iv1–6. 2002. PMID 12208839.
↑ Vreeburg EM, Terwee CB, Snel P; et al. (1999). “Validation of the Rockall risk scoring system in upper gastrointestinal bleeding”. Gut. 44 (3): 331–5. PMID 10026316.

Template:Gastroenterology

Template:WH Template:WS

[1] Rockall TA, Logan RF, Devlin HB, Northfield TC (1996). “Risk assessment after acute upper gastrointestinal haemorrhage”. Gut. 38 (3): 316–21. PMID 8675081.

[2] “Non-variceal upper gastrointestinal haemorrhage: guidelines”. Gut. 51 Suppl 4: iv1–6. 2002. PMID 12208839.

[3] Vreeburg EM, Terwee CB, Snel P; et al. (1999). “Validation of the Rockall risk scoring system in upper gastrointestinal bleeding”. Gut. 44 (3): 331–5. PMID 10026316.

[1]

[2]

[3]