Rockall score for upper GI bleeding
Post-endoscopy risk of rebleeding and death in upper GI bleeding.
Inputs
0 of 5Age
Shock
Comorbidity
Endoscopic diagnosis
Stigmata of recent bleeding
When to use
- After endoscopy for upper GI bleeding.
Pearls and pitfalls
- 2 or less is low risk.
- Use Glasgow-Blatchford before endoscopy.
Why use
Complements Glasgow-Blatchford after endoscopy.
| Criterion | Points |
|---|---|
| Age: Under 60 | 0 |
| 60–79 | +1 |
| 80+ | +2 |
| Shock: None | 0 |
| HR > 100 | +1 |
| SBP < 100 | +2 |
| Comorbidity: None major | 0 |
| Heart failure, IHD, other major | +2 |
| Kidney or liver failure, metastatic cancer | +3 |
| Endoscopic diagnosis: Mallory-Weiss or no lesion | 0 |
| All other diagnoses | +1 |
| Upper GI malignancy | +2 |
| Stigmata of recent bleeding: None or dark spot | 0 |
| Blood, clot, visible or spurting vessel | +2 |