Rockall score

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Not the island

Score that predicts poor prognosis, i.e. death, from upper GI haemorrhage. The original study[1] has been validated by other groups.[2]

Rockall Score
Parameter 0 1 2 3
Age <60 60-79 ≥80
Shock None
BP >100
HR <100
BP >100
HR <100
BP <100
Co-morbidity No major CCF, IHD Renal or liver failure Metastatic malignancy
Diagnosis M-W tears, no lesion All other diagnoses Upper GI malignancy
Signs of Recent Bleed None or dark red spot Blood in upper gut
Adherent clot
Visible vessel

Based on the original paper, mortality increases with score:

Rockall Score
Score Mortality
No rebleed
Mortality
Rebleed
3 2% 10%
4 4% 16%
5 8% 23%
6 10% 33%
7 15% 43%
8+ 28% 53%

References

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