Gastroenterology

Rockall Score (pre-endoscopy)

Risk after upper GI bleeding (clinical score).

Education and reference only. Not a substitute for clinical judgement, local policy or product labelling. Always verify before clinical use. Values are calculated in your browser and never stored.

When to use

Use after an upper GI bleed to assess risk. The pre-endoscopy (clinical) score uses age, shock and comorbidity; the full score adds endoscopic findings.

Why use

It risk-stratifies upper GI bleeding to guide admission and monitoring.

Advice

The full Rockall score (adding diagnosis and stigmata at endoscopy) better predicts rebleeding and mortality. Use with the Glasgow-Blatchford score and local guidance.

Evidence & references

Rockall TA et al. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996.

About the creator

Rockall TA et al.

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