# Rockall Score (Upper GI Bleeding, Complete)

Calculate the COMPLETE (post-endoscopy) Rockall score for acute upper gastrointestinal hemorrhage (AUGIB) to predict rebleeding and mortality. Five parameters: Age (<60 =0, 60–79 =1, ≥80 =2); Shock (none SBP≥100 & HR<100 =0, tachycardia SBP≥100 & HR≥100 =1, hypotension SBP<100 =2); Comorbidity (none =0, other major =2, renal/liver failure or disseminated malignancy =3); Endoscopic diagnosis (Mallory-Weiss or no lesion/stigmata =0, all other =1, upper GI malignancy =2); Stigmata of recent hemorrhage (none or dark spot only =0, blood/adherent clot/visible vessel =2). The first three parameters alone form the PRE-ENDOSCOPIC score (0–7); all five form the COMPLETE score (0–11). Interpretation: ≤2 low risk (~4.9% rebleeding, ~0% mortality — consider early discharge); ≥5 high risk. Derived from Rockall et al. 1996 (Gut). The Glasgow-Blatchford Score better identifies very-low-risk patients. Not medical advice.

> Canonical page: https://elysiatools.com/en/tools/rockall-score

- **Category:** Health

- **Keywords:** Rockall, upper GI bleed, upper GI hemorrhage, AUGIB, GI bleeding, rebleeding, mortality, endoscopy, gastroenterology, Rockall complete

## Overview

Calculate the complete post-endoscopy Rockall score for acute upper gastrointestinal bleeding using age, shock, comorbidity, endoscopic diagnosis, and stigmata of recent hemorrhage. The tool returns the complete score, pre-endoscopic score, component values, and risk category. It is not medical advice.

## Inputs

- **Age** (select): Age band. <60 =0; 60–79 =1; ≥80 =2.
- **Shock** (select): None: SBP ≥100 AND HR <100. Tachycardia: SBP ≥100 AND HR ≥100. Hypotension: SBP <100.
- **Comorbidity** (select): None =0; other major comorbidity =2; renal failure, liver failure, or disseminated malignancy =3.
- **Endoscopic diagnosis** (select): Mallory-Weiss tear OR no lesion / no stigmata =0; all other diagnoses =1; upper GI malignancy =2.
- **Stigmata of recent hemorrhage** (select): None or dark spot only =0; blood in upper GI, adherent clot, or visible/spurting vessel =2.

## When to use

- After endoscopy when assessing rebleeding and mortality risk in acute upper gastrointestinal hemorrhage.
- When you need both the complete Rockall score and the pre-endoscopic score from the same patient data.
- For clinical education or documentation of how age, vital signs, comorbidity, endoscopic diagnosis, and bleeding stigmata affect the score.

## How it works

- Select the patient's age band: under 60, 60–79, or 80 years and older.
- Select the shock category using systolic blood pressure and heart rate, then choose the applicable comorbidity category.
- Select the endoscopic diagnosis and the presence or absence of major stigmata of recent hemorrhage.
- The tool adds the five component scores, reports the complete score from 0–11, and also calculates the pre-endoscopic score from the first three parameters.

## Use cases

- Emergency and gastroenterology teams documenting risk after endoscopy for upper gastrointestinal bleeding.
- Medical learners practicing Rockall component scoring with stable, hypotensive, or high-risk patient profiles.
- Clinical researchers and educators checking how different diagnoses, comorbidities, and bleeding findings change the total score.

## Frequently asked questions

### What does the complete Rockall score measure?

It estimates rebleeding and mortality risk after acute upper gastrointestinal hemorrhage using five clinical and endoscopic parameters.

### What is the difference between the complete and pre-endoscopic scores?

The pre-endoscopic score uses age, shock, and comorbidity. The complete score also includes endoscopic diagnosis and bleeding stigmata.

### What is the Rockall score range?

The pre-endoscopic score ranges from 0 to 7, while the complete score ranges from 0 to 11.

### What does a score of 2 or less indicate?

It indicates a low-risk category, with approximately 4.9% rebleeding and approximately 0% mortality in the referenced interpretation. Clinical assessment remains necessary.

### Can this calculator replace medical judgment?

No. It is a scoring aid and not medical advice. The Glasgow-Blatchford Score may better identify very-low-risk patients.

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