Elysia Tools

Navigation

Health

Rockall Score (Upper GI Bleeding, Complete)

Written by the Elysia Tools team · Last updated：2026-08-07

This tool is for informational purposes only and does not constitute medical, financial, or legal advice; consult a qualified professional for advice.

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.

Execution

Run this tool

Fill in the form, run the tool, and review the result in one place.

Samples

Examples that match this tool

Related

Continue with connected tools and hubs

Elysia Tools

Browse tools, examples, visual explainers, and topic guides from one clear workspace.

HomeTools3201Samples593Visualizations465Viewers103Hubs233Tags333

Top Categories

Images, Audio & Video657

Image, audio, and video processing, conversion, and optimization tools

Math, Date & Finance644

Calculators, numerics, date logic, statistics, and finance tools

Design & Color297

Color, layout, graphics, visual styling, and design helper tools

Text & Writing209

Writing, cleanup, formatting, extraction, and text analysis tools

Developer & Web193

Developer utilities, networking, web debugging, and automation helpers

Conversion & Encoding175

Format, file, archive, unit, and encoding conversion tools

Hubs

FLAC/WAV Source Screening and Evidence HandoffSelf-Hosted Giveaway Widget Review and Embed HandoffStripe Promo Code Batch Review and Import PreflightBatch Photo Culling Review and Editing Shortlist HandoffUI Screenshot Structure Review and Development Handoff
Language
ZHESPTRUFRDEEN

Tool usage guide

Learn when to use this tool, what it supports, and how real users apply it.

Key facts

Category
Health
Input types
select
Output type
json
Sample coverage
4
API ready
Yes

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.

When to use

  • After endoscopy when assessing rebleeding and mortality risk in acute upper gastrointestinal hemorrhage.

© 2026 Elysia Tools. All rights reserved.

  • 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

    1. 1Select the patient's age band: under 60, 60–79, or 80 years and older.
    2. 2Select the shock category using systolic blood pressure and heart rate, then choose the applicable comorbidity category.
    3. 3Select the endoscopic diagnosis and the presence or absence of major stigmata of recent hemorrhage.
    4. 4The 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.

    Examples

    1. High-risk upper GI bleeding after endoscopy

    Emergency physician

    Background

    An elderly patient has acute upper gastrointestinal bleeding, systolic blood pressure below 100 mmHg, a major comorbidity, an upper GI diagnosis other than Mallory-Weiss, and a visible vessel.

    Problem

    Estimate the complete and pre-endoscopic Rockall scores to document the patient's risk category.

    How to use

    Select age ≥80 years, hypotension, other major comorbidity, all other endoscopic diagnoses, and blood, adherent clot, or visible vessel.

    Age: ≥80 years; Shock: hypotension; Comorbidity: other major comorbidity; Diagnosis: all other diagnoses; Stigmata: blood, adherent clot, or visible vessel.

    Outcome

    The tool returns a complete Rockall score of 9 and a pre-endoscopic score of 6, categorized as very high risk.

    2. Low-risk Mallory-Weiss presentation

    Gastroenterology trainee

    Background

    A patient under 60 years old is hemodynamically stable, has no major comorbidity, a Mallory-Weiss tear, and no stigmata of recent hemorrhage.

    Problem

    Confirm the lowest possible complete Rockall score and understand the associated category.

    How to use

    Select under 60 years, no shock, no major comorbidity, Mallory-Weiss tear or no lesion, and no stigmata or dark spot only.

    Age: <60 years; Shock: no shock; Comorbidity: no major comorbidity; Diagnosis: Mallory-Weiss tear or no lesion; Stigmata: none or dark spot only.

    Outcome

    The tool returns a complete Rockall score of 0 and a pre-endoscopic score of 0, categorized as low risk.

    FAQ

    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.

    Python

    Web Image Processing Python Samples

    Web Python image processing examples using PIL/Pillow including reading, saving, resizing, and format conversion

    Java

    Android Image Processing Java Samples

    Android Java image processing examples including reading/saving images, scaling, and format conversion

    Kotlin

    Android Image Processing Kotlin Samples

    Android Kotlin image processing examples including reading/saving images, scaling, and format conversion

    Rust

    Web Image Processing Rust Samples

    Web Rust image processing examples including image read/save, scaling, and format conversion

    Health

    Base Excess Calculator (Metabolic Component)

    Calculate base excess (BE) using the Siggaard-Andersen formula. BE < −3 metabolic acidosis, > +3 metabolic alkalosis. HCO₃⁻ auto-calculated from pH + PaCO₂ if omitted. Derived from Siggaard-Andersen 1974, Cornell PICU, Medscape, and Langer 2022. Not medical advice.

    Health

    Blood Gas Acid-Base Interpretation (AG / ΔAG)

    Complete ABG analysis: pH, primary disorder, compensation (Winter's formula), anion gap ± albumin correction, delta ratio for mixed disorder detection. Derived from Emmett 2016, Kraut 2007, Rastegar 2007, LITFL, MDCalc, and Adrogué 1998. Not medical advice.

    Health

    Caprini Score (VTE Risk, 2005)

    Calculate the 2005 Caprini Risk Assessment Model to stratify venous thromboembolism (VTE) risk in surgical patients. ~40 items weighted 1/2/3/5 points: 1 point (age 41-60, minor surgery, BMI >25, swollen legs, varicose veins, pregnancy/postpartum, recurrent miscarriage, OCP/HRT, sepsis <1mo, lung disease/pneumonia <1mo, COPD, acute MI, CHF <1mo, bedridden, medical bed rest, IBD); 2 points (age 61-74, arthroscopic surgery, major open surgery >45min, laparoscopic >45min, malignancy, bed >72h, plaster cast, central line); 3 points (age ≥75, personal/family VTE history, factor V Leiden, prothrombin 20210A, lupus anticoagulant, anticardiolipin, homocysteine, HIT, other thrombophilia); 5 points (stroke <1mo, elective major lower-extremity arthroplasty, hip/pelvis/leg fracture <1mo, acute spinal cord injury <1mo, multiple trauma <1mo). Management tiers: 0 lowest, 1-4 low-moderate (mechanical), 5-6 high (consider LMWH 7-10d), 7-8 high (LMWH 7-10d), ≥9 highest (LMWH 30d). Derived from Caprini 2005. Not medical advice.

    Health

    CHA₂DS₂-VASc Score (AFib Stroke Risk)

    Calculate the CHA₂DS₂-VASc score to stratify stroke risk in non-valvular atrial fibrillation and guide oral anticoagulation. Components: Congestive heart failure/LV dysfunction (+1), Hypertension (+1), Age ≥75 (+2), Diabetes (+1), prior Stroke/TIA/thromboembolism (+2), Vascular disease — prior MI/PAD/aortic plaque (+1), Age 65–74 (+1), Sex category female (+1). Range 0–9 (women) / 0–8 (men). Thresholds: men ≥2 or women ≥3 → recommend oral anticoagulation (DOAC preferred over warfarin); men 1 or women 2 → consider anticoagulation; men 0 or women ≤1 → omit. Female sex alone is not an independent risk factor (score 1 from sex alone is treated as 0). Includes an approximate annual stroke-risk estimate (Lip 2010 derivation cohort). Derived from Lip 2010 (Chest), 2019 AHA/ACC/HRS update, and 2023 ACC/AHA/ACCP/HRS AF guideline. Combine with bleeding risk (HAS-BLED) and shared decision-making. Not medical advice.

    Docs
    Pricing
    About
    Terms of Service
    Privacy Policy
    Cookies
    Contact