Oakland score for lower GI bleeding
Identifies patients with lower GI bleeding safe for discharge.
Inputs
CompleteAge
Male
Previous admission for lower GI bleeding
Blood on digital rectal exam
Heart rate
Systolic BP
Hemoglobin (g/dL)
Worked calculation
Your values are highlighted.
- Points
When to use
- Acute lower GI bleeding.
Pearls and pitfalls
- BSG: score 8 or lower with no other indication for admission can be discharged for outpatient investigation.
Why use
Supports safe discharge decisions.
| Criterion | Points |
|---|---|
| Age: Under 40 | 0 |
| 40–69 | +1 |
| 70 or older | +2 |
| Male | +1 |
| Previous admission for lower GI bleeding | +1 |
| Blood on digital rectal exam | +1 |
| Heart rate: Below 70 | 0 |
| 70–89 | +1 |
| 90–109 | +2 |
| 110 or higher | +3 |
| Systolic BP: 160 or higher | 0 |
| 130–159 | +2 |
| 120–129 | +3 |
| 90–119 | +4 |
| 50–89 | +5 |
| Hemoglobin (g/dL): 16 or higher | 0 |
| 13–15.9 | +4 |
| 11–12.9 | +8 |
| 9–10.9 | +13 |
| 7–8.9 | +17 |
| 3.6–6.9 | +22 |