Gastroenterology Book

http://www.fpnotebook.com/

Rockall Risk Score

Aka: Rockall Risk Score, Risk Assessment after Acute Gastrointestinal Hemorrhage
  1. See Also
    1. Upper GI Bleeding Score
    2. Upper Gastrointestinal Bleeding
  2. Indication
    1. Upper Gastrointestinal Bleeding
  3. Criteria: Add score from each of the following 5 criteria
    1. Age
      1. Score 0: Age less than 60 years
      2. Score 1: Age 60 to 79 years
      3. Score 2: Age 80 years or older
    2. Shock symptoms
      1. Score 0: Shock absent, normal Heart Rate and Blood Pressure
      2. Score 1: Heart Rate 100 or higher
      3. Score 2: Systolic Blood Pressure <100 mmHg (and Heart Rate 100 or higher)
    3. Comorbidity
      1. Score 0: None
      2. Score 2: CHF, CAD or other major comorbidity
      3. Score 3: Renal Failure, liver failure or metastatic cancer
    4. Endoscopic diagnosis
      1. Score 0: No lesion and no stigmata of recent Hemorrhage (or Mallory-Weiss tear)
      2. Score 1: All other Upper Gastrointestinal Bleeding causes (except upper gastrointestinal cancer)
      3. Score 2: Upper gastrointestinal tract cancer
    5. Stigmata of recent Gastrointestinal Bleeding
      1. Score 0: No stigmata or dark spot only
      2. Score 3: Blood in upper GI tract, adherent clot, visible vessel, or actively bleeding or spurting vessel
  4. Interpretation: Total cummulative score
    1. Score 0 to 2
      1. Rebleeding rate: 3.5 to 5.3%
      2. Mortality: 0 to 0.2%
    2. Score 3
      1. Rebleeding rate: 11.2%
      2. Mortality: 2.9%
    3. Score 4
      1. Rebleeding rate: 14.1%
      2. Mortality: 5.3%
    4. Score 5
      1. Rebleeding rate: 24.1%
      2. Mortality: 10.8%
    5. Score 6
      1. Rebleeding rate: 32.9%
      2. Mortality: 17.3%
    6. Score 7
      1. Rebleeding rate: 43.8%
      2. Mortality: 27%
    7. Score 8 or higher
      1. Rebleeding rate: 41.8%
      2. Mortality: 41.1%
  5. References
    1. Rockall (1996) Gut 38(3):318-9 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree