Rockall Score for Upper GI Bleeding (Complete)
Determines severity of GI bleeding.
INSTRUCTIONS
Use this score for known upper GI bleed patients with a completed endoscopy. Use the Pre-Endoscopy Rockall Score for patients who have not yet had endoscopy.
When to Use
Pearls/Pitfalls
Why Use
<60 years
060-79 years
+1≥80 years
+2No shock (SBP ≥100 AND HR <100)
0Tachycardia (SBP ≥100 AND HR ≥100)
+1Hypotension (SBP <100)
+2No major comorbidity
0Any comorbidity EXCEPT renal failure, liver failure, and/or disseminated malignancy
+2Renal failure, liver failure, and/or disseminated malignancy
+3Mallory-Weiss tear
0No lesion identified and no stigmata of recent hemorrhage
0All other diagnoses
+1Malignancy of upper GI tract
+2None
0Dark spot only
0Blood in upper GI tract
+2Adherent clot
+2Visible or spurting vessel
+2Result:
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