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Rockall Risk Score for GI Bleeding
Oct 5, 2014
•
Mark Morgan
categories:
Gastroenterology & Hepatology
Rockall Risk Score for GI Bleeding
0
1
2
<-- Age
Score 0: Age less than 60 years
Score 1: Age 60 to 79 years
Score 2: Age 80 years or older
0
1
2
<-- Shock symptoms
Score 0: Shock absent, normal Heart Rate and Blood Pressure
Score 1: Heart Rate 100 or higher
Score 2: Systolic Blood Pressure <100 mmHg (and Heart Rate 100 or higher)
0
2
3
<-- Comorbidity
Score 0: None
Score 2: CHF, CAD or other major comorbidity
Score 3: Renal Failure, liver failure or metastatic cancer
0
1
2
<-- Endoscopic diagnosis
Score 0: No lesion and no stigmata of recent Hemorrhage (or Mallory-Weiss tear)
Score 1: All other Upper Gastrointestinal Bleeding causes (except upper gastrointestinal cancer)
Score 2: Upper gastrointestinal tract cancer
0
3
<-- Stigmata of recent Gastrointestinal Bleeding
Score 0: No stigmata or dark spot only
Score 3: Blood in upper GI tract, adherent clot, visible vessel, or actively bleeding or spurting vessel
Score -->
number
score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)
Interpretation -->
number
score2=(Q1)+(Q2)+(Q3)+(Q4)+(Q5);score2>7?'Rebleeding rate: 41.8%, Mortality: 41.1%':score2>6?'Rebleeding rate: 43.8%, Mortality: 27%':score2>5?'Rebleeding rate: 32.9%, Mortality: 17.3%':score2>4?'Rebleeding rate: 24.1%, Mortality: 10.8%':score2>3?'Rebleeding rate: 14.1%, Mortality: 5.3%':score2>2?'Rebleeding rate: 11.2%, Mortality: 2.9%':'Rebleeding rate: 3.5 to 5.3%, Mortality: 0 to 0.2%'
display/hide references
reference:
#1
Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996 Mar;38(3):316-21.
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