Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Rockall score
Introduction
Overview
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
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
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.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]