🩸 Rockall Score (UGI Bleed Mortality)
UsePost-endoscopy risk assessment in upper GI haemorrhage.
StrataComplete score ≤2 suggests low rebleeding/mortality risk; higher scores warrant inpatient monitoring and rebl…
LimitsComplete Rockall requires endoscopy — do not claim full risk stratifi… · Does not replace Blatchford for pre-endoscopy outpatient triage. · Variceal pathways may need additional portal-hypertension protocols.
SourceRockall TA, et al. Gut 1996. doi:10.1136/gut.38.3.316
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
Score ≤ 2 indicates low risk of rebleeding/death.
When to use
Post-endoscopy risk assessment in upper GI haemorrhage.
How it works
Age, shock, comorbidity, endoscopic diagnosis and stigmata of recent haemorrhage (max 11). The first three items form the pre-endoscopy clinical Rockall (max 7).
Key points
- Score ≤ 2 indicates low risk of rebleeding/death.
- Needs endoscopic findings for the complete score.
- Higher scores warrant closer monitoring.
References
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 | 60–79 (1) |
|---|---|
| Shock | Tachycardia HR ≥ 100, SBP ≥ 100 (1) |
| Comorbidity | Cardiac/IHD/any major (2) |
| Diagnosis (endoscopic) | All other diagnoses (1) |
| Stigmata of recent haemorrhage | None or dark spot (0) |
→Rockall5/11
- Risk：High risk — rebleeding and mortality rise steeply.
- Pre-endoscopy：First three items (age, shock, comorbidity) form the clinical/pre-endoscopy Rockall (max 7).
| Age | < 60 (0) |
|---|---|
| Shock | No shock (0) |
| Comorbidity | None (0) |
| Diagnosis (endoscopic) | Mallory-Weiss / no lesion, no SRH (0) |
| Stigmata of recent haemorrhage | None or dark spot (0) |
→Rockall0/11
- Risk：Low risk of rebleeding/mortality.
- Pre-endoscopy：First three items (age, shock, comorbidity) form the clinical/pre-endoscopy Rockall (max 7).
Verification & sources · governance
FAQ
Frequently asked questions
- Does Rockall Score (UGI Bleed Mortality) 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 Rockall Score (UGI Bleed Mortality) calculated in practice? Can you show a worked example?
- Inputs: Age 60–79 (1), Shock Tachycardia HR ≥ 100, SBP ≥ 100 (1), Comorbidity Cardiac/IHD/any major (2), Diagnosis (endoscopic) All other diagnoses (1), Stigmata of recent haemorrhage None or dark spot (0) → Result: Rockall 5 /11（Risk: High risk — rebleeding and mortality rise steeply., Pre-endoscopy: First three items (age, shock, comorbidity) form the clinical/pre-endoscopy Rockall (max 7).） Inputs: Age < 60 (0), Shock No shock (0), Comorbidity None (0), Diagnosis (endoscopic) Mallory-Weiss / no lesion, no SRH (0), Stigmata of recent haemorrhage None or dark spot (0) → Result: Rockall 0 /11（Risk: Low risk of rebleeding/mortality., Pre-endoscopy: First three items (age, shock, comorbidity) form the clinical/pre-endoscopy Rockall (max 7).）