Last reviewed dd mmm yyyy. Last edited dd mmm yyyy
The various components of the Rockall Numerical Risk Scoring system are scored individually and then the sum of the component scores is the predictive score:
Age
Age < 60y | 0 points |
Age 60-79y | 1 point |
Age >= 80y | 2 points |
Shock
No 'shock' (SBP <=100mmHg, HR <=100) | 0 points |
'Tachycardia' (SBP >= 100 mmHg, HR > =100) | 1 point |
'Hypotension' (SBP < 100mmHg) | 2 points |
Co-morbidity
No major co-morbidity | 0 points |
Cardiac failure, IHD or any major co-morbidity | 2 points |
renal failure, liver failure, or metastatic disease | 3 points |
Initial Rockall Score - out of 7:
0/7 = Predicted mortality 0.2%
1/7 = Predicted mortality 2.4%
2/7 = Predicted mortality 5.6%
3/7 = Predicted mortality 11%
4/7 = Predicted mortality 24.6%
5/7 = Predicted mortality 39.6%
6/7 = Predicted mortality 48.9%
7/7 = Predicted mortality 50%
Additional Criteria for Full Score (after gastroscopy)
This makes total score out of 11
Diagnosis
Mallory-Weiss tear, no lesion seen nor SRH (stigmata of recent haemorrhage) | 0 points |
All other diagnoses apart from GI malignancy | 1 point |
GI malignancy | 2 points |
Major stigmata of recent haemorrhage (SRH)
None or dark spot only | 0 points |
Blood, adherent clot, spurting vessel | 2 point |
0/11 = Consider for early discharge (mortality <1% rebleed approx 5%)
1/11 = Consider for early discharge (mortality <1% rebleed approx 5%)
2/11 = Consider for early discharge (mortality <1% rebleed approx 5%)
3/11 = Significant mortality or rebleed risk
4/11 = Significant mortality or rebleed risk
5/11 = Significant mortality or rebleed risk
6/11 = Significant mortality or rebleed risk
7/11 = Significant mortality or rebleed risk
8/11 = Significant mortality or rebleed risk
9/11 = Significant mortality or rebleed risk
10/11 = Significant mortality or rebleed risk
11/11 = Significant mortality or rebleed risk
Total score is calculated by simple addition. A score less than 3 carries good prognosis but total score more than 8 carries high risk of mortality (1)
Reference:
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