Rockall score
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Rockall risk scoring system attempts to identify patients at risk of adverse outcome following acute upper gastrointestinal bleeding. Rockall et al identified independent risk factors[1] which were later shown to predict mortality accurately. The scoring system uses clinical criteria (increasing age, co-morbidity, shock) as well as endoscopic finding (diagnosis, stigmata of acute bleeding). It is named for Professor Tim Rockall, who was the main investigator and first author of the studies that led to its formulation.
| Variable[2] | Score 0 | Score 1 | Score 2 | Score 3 |
|---|---|---|---|---|
| Age | <60 | 60- 79 | >80 | |
| Shock | No shock | Pulse >100 | SBP <100 | |
| Comorbidity | Nil major | CCF, IHD, major morbidity | Renal failure, liver failure, metastatic cancer | |
| Diagnosis | Mallory-weiss | All other diagnoses | GI malignancy | |
| Evidence of bleeding | None | Blood, adherent clot, spurting vessel |
[edit] Interpretation
Total score is calculated by simple addition. A score less than 3 carries good prognosis but total score more than 8 carries high risk of mortality[3].
[edit] References
- ^ Rockall TA, Logan RF, Devlin HB, Northfield TC (1996). "Risk assessment after acute upper gastrointestinal haemorrhage". Gut 38 (3): 316–21. PMID 8675081.
- ^ "Non-variceal upper gastrointestinal haemorrhage: guidelines" (2002). Gut 51 Suppl 4: iv1–6. PMID 12208839.
- ^ Vreeburg EM, Terwee CB, Snel P, et al (1999). "Validation of the Rockall risk scoring system in upper gastrointestinal bleeding". Gut 44 (3): 331–5. PMID 10026316.
