Rockall scoring system for risk of rebleeding and death after admission to hospital for acute gastrointestinal bleeding
| Score | ||||
|---|---|---|---|---|
| Variable | 0 | 1 | 2 | 3 |
| Each variable is scored and the total score calculated by simple addition. | ||||
| SRH, stigmata of recent haemorrhage. | ||||
| Age (y) | <60 | 60–79 | ≥80 | |
| Shock | No shock (systolic BP >100, pulse <100) | Tachycardia (systolic BP >100, pulse >100) | Hypotension (systolic BP <100, pulse >100) | |
| Comorbidity | Nil major | Cardiac failure, ischaemic heart disease, any major comorbidity | Renal failure, liver failure, disseminated malignancy | |
| Diagnosis | Mallory Weiss tear, no lesion, and no SRH | All other diagnoses | Malignancy of upper GI tract | |
| Major SRH | None or dark spot | Blood in upper GI tract, adherent clot, visible or spurting vessel | ||