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