Rockall Score — JoyShine Medical

Rockall Score (UGIB)

Predicts rebleeding and mortality in upper GI bleeding from age, shock, and comorbidity, with an optional pre-endoscopic mode and a full score that adds endoscopic diagnosis and stigmata.

Age

< 60 (0) 60–79 (+1) ≥ 80 (+2)

Shock

Nl HR & BP (0) HR > 100, SBP ≥ 100 (+1) SBP < 100 (+2)

Comorbidity

None (0) CHF / IHD / other major (+2) Renal / liver failure / metastatic (+3)

Pre-endoscopic Rockall only (skip diagnosis / stigmata)

Diagnosis (endoscopic)

Mallory-Weiss / no lesion (0) Other (+1) GI malignancy (+2)

Stigmata of recent bleeding

None / dark spot (0) Blood / clot / visible vessel / active bleed (+2)