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Calculator: Rockall score for upper gastrointestinal bleeding in adults

Calculator: Rockall score for upper gastrointestinal bleeding in adults


<60 years old (0 points)

60 to 79 years old (1 point)

≥80 years old (2 points)
Hemodynamic shock

None with systolic BP ≥100 mmHg and pulse <100/min (0 points)

Tachycardic with pulse ≥100/min but systolic BP ≥100 mmHg (1 point)

Hypotension with systolic BP <100 mmHg (2 points)
Major comorbidities

None (0 points)

Cardiac failure, ischemic heart disease, or similar major comorbidity (2 points)

Renal failure, hepatic failure, or disseminated cancer (3 points)

Mallory-Weiss tear, but no major lesions and no stigmata of recent bleed (0 points)

Other nonmalignant gastrointestinal diagnoses (1 point)

Upper gastrointestinal tract malignancy (2 points)
Recent hemorrhage

None (or dark spot only) (0 points)

Blood found in upper gastrointestinal tract (adherent clot, visible or spurting vessel) (2 points)

Important: Inputs must be complete to perform calculation.

Total criteria point count:
  • A score of 2 or less is associated with a low risk of further bleeding or death.
  • Please see appropriate UpToDate topic reviews for further information.

Only digits 0 to 9 and a single decimal point (".") are acceptable as numeric inputs. Attempted input of other characters into a numeric field may lead to an incorrect result.

Information on this page may not appear correctly if printed.

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Topic 15642 Version 11.0