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Rockall score
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).
| 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 |
|
Interpretation
Total score is calculated by simple addition. A score less than 3 score carries good prognosis but total score more than 8 carries high risk of mortality[3].
References
- ^ Rockall TA, Logan RF, Devlin HB, Northfield TC (1996). "Risk assessment after acute upper gastrointestinal haemorrhage". Gut 38 (3): 316–21. PMID 8675081.
- ^ (2002) "Non-variceal upper gastrointestinal haemorrhage: guidelines". 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.
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Digestive system - Gastroenterology (primarily K20-K93, 530-579) |
| Esophagus |
Esophagitis - GERD - Achalasia - Boerhaave syndrome - Nutcracker esophagus - Zenker's diverticulum - Mallory-Weiss syndrome - Barrett's esophagus |
Stomach/
duodenum |
Peptic (gastric/duodenal) ulcer - Gastritis - Gastroenteritis - Duodenitis - Dyspepsia - Pyloric stenosis - Achlorhydria - Gastroparesis - Gastroptosis - Portal hypertensive gastropathy |
| Hernia |
Inguinal (Indirect, Direct) - Femoral - Umbilical - Incisional - Diaphragmatic - Hiatus |
| Noninfective enteritis and colitis |
IBD (Crohn's, Ulcerative colitis) - noninfective gastroenteritis |
| Other intestinal |
vascular (Abdominal angina, Mesenteric ischemia, Ischemic colitis, Angiodysplasia) - Ileus/Bowel obstruction (Intussusception, Volvulus) - Diverticulitis/Diverticulosis - IBS
other functional intestinal disorders (Constipation, Diarrhea, Megacolon/Toxic megacolon, Proctalgia fugax) - Anal fissure/Anal fistula - Anal abscess - Rectal prolapse - Proctitis (Radiation proctitis) |
| Liver/hepatitis |
Alcoholic liver disease - Liver failure (Acute liver failure) - Cirrhosis - PBC - NASH - Fatty liver - Peliosis hepatis - Portal hypertension - Hepatorenal syndrome |
| Accessory digestive |
Gallbladder (Gallstones, Choledocholithiasis, Cholecystitis, Cholesterolosis, Rokitansky-Aschoff sinuses)
Biliary tree (Cholangitis, Cholestasis/Mirizzi's syndrome, PSC, Biliary fistula, Ascending cholangitis)
Pancreas (Acute pancreatitis, Chronic pancreatitis, Pancreatic pseudocyst, Hereditary pancreatitis) |
| Other/general |
Appendicitis - Peritonitis (Spontaneous bacterial peritonitis)
Malabsorption (celiac, Tropical sprue, Blind loop syndrome, Whipple's)
postprocedural: Gastric dumping syndrome - Postcholecystectomy syndrome
bleeding: Hematemesis - Melena - Gastrointestinal bleeding (Upper, Lower) |
| See also congenital |
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This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Rockall_score". A list of authors is available in Wikipedia.
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