🩸 Oakland Score (Safe Discharge Lower GI Bleed)
UseWhen to use: haemodynamically assessed adults with acute LGIB where outpatient vs inpatient disposition is be…
Strata≤ 8 supports considering discharge only if clinically stable with reliable follow-up; > 8 favours admission p…
LimitsWhen not to use: shock, ongoing massive bleeding, unreliable follow-u… · Pitfall: applying Oakland before resuscitation or with incomplete Hb/… · Does not replace endoscopy triage or local GI-bleed pathways.
SourceBSG / ACG lower GI bleeding guidance (tool-page cited edition) — disposition frameworks
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Cut-off ≤ 8 for low-risk discharge candidacy.
When to use
When to use: haemodynamically assessed adults with acute LGIB where outpatient vs inpatient disposition is being considered.
How it works
Sum age (0–2), sex (0–1), prior LGIB admission (0–1), DRE blood (0–1), heart rate (0–3), SBP (0–3), haemoglobin g/L (0/4/8/13). Safe-discharge candidates often have total ≤ 8.
Key points
- Cut-off ≤ 8 for low-risk discharge candidacy.
- Hb dominates the point total.
- Next: pair with Blatchford/Rockall context and GI consult triggers.
References
- [Guideline / primary source]BSG / ACG lower GI bleeding guidance (tool-page cited edition) — disposition frameworks
- Oakland K, et al. Lancet Gastroenterol Hepatol 2017 (Oakland score derivation/validation)
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age | 40–69 y (1) |
|---|---|
| Sex | Female (0) |
| Previous LGIB admission | No (0) |
| Blood on digital rectal exam | No (0) |
| Heart rate | 70–89 (1) |
| Systolic BP | 120–129 (1) |
| Haemoglobin (g/L) | 120–159 (4) |
→Oakland7pts
- Discharge candidacy：≤ 8 — may be considered for safe outpatient management if clinically stable.
- Threshold：Safe-discharge cut-off ≤ 8 (derivation/validation cohorts).
| Age | < 40 y (0) |
|---|---|
| Sex | Female (0) |
| Previous LGIB admission | No (0) |
| Blood on digital rectal exam | No (0) |
| Heart rate | < 70 (0) |
| Systolic BP | ≥ 130 (0) |
| Haemoglobin (g/L) | ≥ 160 (0) |
→Oakland0pts
- Discharge candidacy：≤ 8 — may be considered for safe outpatient management if clinically stable.
- Threshold：Safe-discharge cut-off ≤ 8 (derivation/validation cohorts).
Verification & sources · governance
FAQ
Frequently asked questions
- Does Oakland Score (Safe Discharge Lower GI Bleed) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Oakland Score (Safe Discharge Lower GI Bleed) calculated in practice? Can you show a worked example?
- Inputs: Age 40–69 y (1), Sex Female (0), Previous LGIB admission No (0), Blood on digital rectal exam No (0), Heart rate 70–89 (1), Systolic BP 120–129 (1), Haemoglobin (g/L) 120–159 (4) → Result: Oakland 7 pts（Discharge candidacy: ≤ 8 — may be considered for safe outpatient management if clinically stable., Threshold: Safe-discharge cut-off ≤ 8 (derivation/validation cohorts).） Inputs: Age < 40 y (0), Sex Female (0), Previous LGIB admission No (0), Blood on digital rectal exam No (0), Heart rate < 70 (0), Systolic BP ≥ 130 (0), Haemoglobin (g/L) ≥ 160 (0) → Result: Oakland 0 pts（Discharge candidacy: ≤ 8 — may be considered for safe outpatient management if clinically stable., Threshold: Safe-discharge cut-off ≤ 8 (derivation/validation cohorts).）