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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

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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.

v • d • e 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

Categories: Gastroenterology | Medical emergencies

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.