The Rockall risk scoring system
| Score | ||||
|---|---|---|---|---|
| Variable | 0 | 1 | 2 | 3 |
| Age (years) | <60 | 60–79 | ⩾80 | |
| Shock | “No shock”: pulse <100 + systolic BP⩾100 mm Hg | “Tachycardia”: pulse ⩾100 + systolic BP ⩾100 mm Hg | “Hypotension”: systolic BP ⩾100 mm Hg | |
| Comorbidity | No major comorbidity | Cardiac failure, ischaemic heart disease, any major comorbidity | Renal failure, liver failure, disseminated malignancy | |
| Diagnosis | Mallory Weiss tear, no lesion identified and no SRH/blood | All other diagnoses | Malignancy of upper GI tract | |
| Major SRH | None or dark spot only | Blood in upper GI tract, adherent clot, visible or spurting vessel | ||
| “Translation” of our comorbidity scale | ||||
| Comorbidity | No or mild coexisting illnesses (e.g. ECG abnormalities without symptoms) | Moderate coexisting illnesses (e.g. hypertension stable with medication) | Severe coexisting illnesses (diseases which need immediate treatment: e.g. cardiac failure) | Life threatening diseases (e.g. end stage malignancies, renal failure) |
Major SRH, major stigmata of recent haemorrhage (active bleeding or visible vessel); GI, gastrointestinal; BP, blood pressure.