Rockall score
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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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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WikiDoc Resources for Rockall score |
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Articles |
|---|
|
Most recent articles on Rockall score Most cited articles on Rockall score |
|
Media |
|
Powerpoint slides on Rockall score |
|
Evidence Based Medicine |
|
Clinical Trials |
|
Ongoing Trials on Rockall score at Clinical Trials.gov Trial results on Rockall score Clinical Trials on Rockall score at Google
|
|
Guidelines / Policies / Govt |
|
US National Guidelines Clearinghouse on Rockall score NICE Guidance on Rockall score
|
|
Books |
|
News |
|
Commentary |
|
Definitions |
|
Patient Resources / Community |
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Patient resources on Rockall score Discussion groups on Rockall score Patient Handouts on Rockall score Directions to Hospitals Treating Rockall score Risk calculators and risk factors for Rockall score
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|
Healthcare Provider Resources |
|
Causes & Risk Factors for Rockall score |
|
Continuing Medical Education (CME) |
|
International |
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|
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Business |
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Experimental / Informatics |
Interpretation
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[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.
- ↑ "Non-variceal upper gastrointestinal haemorrhage: guidelines". Gut. 51 Suppl 4: iv1–6. 2002. 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.