The Cardiovascular
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Rockall Score for Upper GI Bleeding (Complete)

Post-endoscopy mortality risk in acute upper gastrointestinal bleeding.

Rockall Score for Upper GI Bleeding (Complete)
Age
Shock
Comorbidity
Endoscopic diagnosis
Major stigmata of recent haemorrhage
Result0 points

Predicted mortality about 0%.

Mortality
0%

When to use

  • Estimating mortality after endoscopy in acute upper GI bleeding to guide disposition.

Formula

Age (0-2) + shock (0-2) + comorbidity (0-3) + endoscopic diagnosis (0-2) + stigmata of recent haemorrhage (0 or 2). Range 0-11.

Pearls and pitfalls

  • A complete score <=2 identifies low-risk patients suitable for early discharge.

References

  1. Rockall TA, et al. Gut. 1996;38(3):316-21.