🩸 Rockall Score (UGI Bleed Mortality)
Estimate rebleeding and mortality after upper GI bleeding with the complete Rockall score.
Score ≤ 2 indicates low risk of rebleeding/death.
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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 (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).
Frequently asked 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).）