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Rockall score

System for assessing risks after gastrointestinal bleeding

Field	Value
name	Rockall score
test of	assess after GI bleeding(for adverse outcome)
DiseasesDB
ICD10
MedlinePlus
eMedicine
OPS301
LOINC

Rockall risk scoring system attempts to identify patients at risk of adverse outcome following acute upper gastrointestinal bleeding. Rockall et al. identified independent risk factors in 1996 which were later shown to predict mortality accurately. The scoring system uses clinical criteria (increasing age, co-morbidity, shock) as well as endoscopic finding (diagnosis, stigmata of acute bleeding). It is named for Professor Tim Rockall, who was the main investigator and first author of the studies that led to its formulation. A convenient mnemonic is ABCDE - i.e. Age, Blood pressure fall (shock), Co-morbidity, Diagnosis and Evidence of bleeding.

Variable	Score 0	Score 1	Score 2	Score 3
Age		60- 79	80
Shock	No shock	Pulse 100
BP 100 Systolic	SBP
Co-morbidity	Nil major		CHF, IHD, major morbidity	kidney failure, liver failure, metastatic cancer
Diagnosis	Mallory-Weiss	All other diagnoses	GI malignancy
Evidence of bleeding on endoscopy	None		Blood, adherent clot, spurting vessel

Interpretation

Total score is calculated by simple addition. A score less than 3 carries good prognosis but total score more than 8 carries high risk of mortality.

References

(1996). "Risk assessment after acute upper gastrointestinal haemorrhage". Gut.
(2012). "Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach". International Journal of General Medicine.
(2002). "Non-variceal upper gastrointestinal haemorrhage: guidelines". Gut.
(1999). "Validation of the Rockall risk scoring system in upper gastrointestinal bleeding". Gut.

Info: Wikipedia Source

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diagnostic-gastroenterology medical-emergencies medical-scoring-system medical-mnemonics

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