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.

Rockall Score (Upper GI Bleeding, Complete) | Online Free Tool

Rockall Score (Upper GI Bleeding, Complete) | Online Free Tool | Elysia Tools

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.

Rockall Score (Upper GI Bleeding, Complete)

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Key facts

Overview

When to use

How it works

Use cases

Examples

1. High-risk upper GI bleeding after endoscopy

2. Low-risk Mallory-Weiss presentation

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