Gastroenterology Education and CPD for trainees and …

Post endoscopic score Age (years) <60+0 >60-79+1 >=80+2ShockNo-Pulse<100/minute, SBP >100 mm Hg +0Pulse>100/minute, SBP>100 mm Hg +1Yes- pulse >100/minute, SBP <100 mm Hg +2ComorbidityNo major comorbidity+0Cardiac failure, IHD, any other major comorbidity+2Renal failure, liver failure, disseminated malignancy+3DiagnosisMallory- Weiss tear, no lesion identified and SRH+0All other diagnoses+1Malignancy of upper GI tract+2Major Stigmata of Recent Haemorrhage (SRH)None or dark spot only+0Blood in upper GIT, adherent clot, visible or spurting vessel+2ScorePoints

The Rockall score was designed to estimate the risk of rebleeding or death in patients with upper GI bleed. A score of 0 (pre endoscopic) identifies extremely low risk of rebleed or death and may be suitable for early discharge or non admission. Patients with a full (post endoscopic) Rockall score of < 3 have a low risk of re bleeding or death and can be considered for early discharge.

Disclaimer:The calculators allow you to enter patient specific information to calculate a simple score. All information is provided for educational purposes only. This information is not intended to replace clinical judgement. All calculations must be rechecked and should not be used alone to guide patient care. The user assumes sole responsibility for any decisions or action taken based on the information contained here.

Excerpt from:

Gastroenterology Education and CPD for trainees and ...