The Cardiovascular
ToolsCalculators

Rockall Score for Upper GI Bleeding (Pre-Endoscopy)

Clinical (pre-endoscopy) Rockall score for acute upper GI bleeding.

Rockall Score for Upper GI Bleeding (Pre-Endoscopy)
Age
Shock
Comorbidity
Result0 points

Clinical Rockall of 0 identifies low-risk patients who may be considered for early discharge.

Low-risk threshold
score = 0

When to use

  • Early risk stratification of upper GI bleeding before endoscopy.

Formula

Age (0-2) + shock (0-2) + comorbidity (0-3). Range 0-7. A score of 0 identifies low-risk patients.

Pearls and pitfalls

  • The full Rockall score adds endoscopic diagnosis and stigmata after endoscopy to refine mortality prediction.

References

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