The Rockall scoring system
| Score | ||||
| Variable | 0 | 1 | 2 | 3 |
| Age | < 60 | 60–79 | >/= 80 | |
| Shock |
No shock
Systolic BP > 100 mm Hg
Pulse < 100 beats/min
|
Tachycardia
Systolic BP > 100 mm Hg
Pulse > 100 beats/min
|
Hypotension
Systolic BP < 100 mm Hg
| |
| Comorbidity | Nil major | Cardiac failure, ischemic heart disease, any major comorbidity | Renal failure, liver failure,disseminated malignancy | |
| Diagnosis | Mallory–Weiss tear, no lesion, and no SRH | All other diagnoses | Malignancy of upper-GI tract | |
| Major SRH | None, or dark spot | Blood in upper-GI tract, adherent clot, visible or spurting vessel | ||
BP, blood pressure; SRH, stigmata of recent hemorrhage.
Initial Rockall Score = Age + Shock + Co-morbidity
IRC = 0/7 => Predicted mortality 0.2%
IRC = 1/7 => Predicted mortality 2.4%
IRC = 2/7 => Predicted mortality 5.6%
IRC = 3/7 => Predicted mortality 11%
IRC = 4/7 => Predicted mortality 24.6%
IRC = 5/7 => Predicted mortality 39.6%
IRC = 6/7 => Predicted mortality 48.9%
IRC = 7/7 => Predicted mortality 50%
