Rockall Score (UGI Bleed Mortality) — free guideline decision tool
Estimate rebleeding and mortality after upper GI bleeding with the complete Rockall score.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
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 (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).
| Age | ≥ 80 (2) |
|---|---|
| Shock | Hypotension SBP < 100 (2) |
| Comorbidity | Renal/liver failure, metastatic cancer (3) |
| Diagnosis (endoscopic) | Upper GI malignancy (2) |
| Stigmata of recent haemorrhage | Blood, clot, visible/spurting vessel (2) |
→Rockall11/11
- Risk：High risk — rebleeding and mortality rise steeply.
- Pre-endoscopy：First three items (age, shock, comorbidity) form the clinical/pre-endoscopy Rockall (max 7).
Common questions
What is Rockall Score (UGI Bleed Mortality)?
Estimate rebleeding and mortality after upper GI bleeding with the complete Rockall score.
How is Rockall Score (UGI Bleed Mortality) calculated? What is the core formula?
Age, shock, comorbidity, endoscopic diagnosis and stigmata of recent haemorrhage (max 11). The first three items form the pre-endoscopy clinical Rockall (max 7).
When is Rockall Score (UGI Bleed Mortality) used?
Post-endoscopy risk assessment in upper GI haemorrhage.
What are the key clinical points for Rockall Score (UGI Bleed Mortality)?
Score ≤ 2 indicates low risk of rebleeding/death. Needs endoscopic findings for the complete score. Higher scores warrant closer monitoring.
What are the limits and cautions when using Rockall Score (UGI Bleed Mortality)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Rockall Score (UGI Bleed Mortality) calculated in practice? Can you show a worked example?
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).） Inputs: Age ≥ 80 (2), Shock Hypotension SBP < 100 (2), Comorbidity Renal/liver failure, metastatic cancer (3), Diagnosis (endoscopic) Upper GI malignancy (2), Stigmata of recent haemorrhage Blood, clot, visible/spurting vessel (2) → Result: Rockall 11 /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).）
Run Rockall Score (UGI Bleed Mortality) now
Estimate rebleeding and mortality after upper GI bleeding with the complete Rockall score.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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