Rockall score

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 [cite journal |author=Rockall TA, Logan RF, Devlin HB, Northfield TC |title=Risk assessment after acute upper gastrointestinal haemorrhage |journal=Gut |volume=38 |issue=3 |pages=316–21 |year=1996 |pmid=8675081 |doi=] 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). It is named for Professor Tim Rockall, who was the main investigator and first author of the studies that led to its formulation.

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 [cite journal |author=Vreeburg EM, Terwee CB, Snel P, "et al" |title=Validation of the Rockall risk scoring system in upper gastrointestinal bleeding |journal=Gut |volume=44 |issue=3 |pages=331–5 |year=1999 |pmid=10026316 |doi=] .

ee also

Forrest classification

References