{"id":2424,"date":"2011-07-08T14:33:09","date_gmt":"2011-07-08T14:33:09","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasroc\/"},"modified":"2025-05-13T20:28:55","modified_gmt":"2025-05-13T20:28:55","slug":"gasroc","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/gasroc\/","title":{"rendered":"The Rockall Scoring System"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The Rockall score is an established and useful system to assess upper gastrointestinal bleeding (UGIB). The Rockall system has been shown to represent an accurate and valid predictor of rebleeding and death, performing better in the latter than in the former. Rockall scores are designed to combine information such as the subject\u2019s age, occurrence of shock assessed from systolic blood pressure readings and pulse rate, presence and severity of comorbid conditions, diagnosis and endoscopic stigmata of recent bleeding.<br \/>\n<!--more--><br \/>\nSumming up the different levels of a point grading system assigned to each of the components yields a subject\u2019s risk score bounded on a scale of 0 to 11, with 11 representing the highest risk. Results of previous investigations and validations of the scoring system have highlighted that those with a score of &lt;\/= 2 are associated with a very low rate of bleeding recurrences and death and, therefore, can be reasonably managed as outpatients.<\/p>\n<p><strong>The Rockall scoring system<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 11.1515%;\"><\/td>\n<td style=\"width: 88.7273%;\" colspan=\"4\" align=\"center\"><strong> Score<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 11.1515%;\">Variable<\/td>\n<td style=\"width: 22.5454%;\" align=\"center\"><strong> 0<\/strong><\/td>\n<td style=\"width: 23.0303%;\" align=\"center\"><strong> 1<\/strong><\/td>\n<td style=\"width: 22.1819%;\" align=\"center\"><strong> 2<\/strong><\/td>\n<td style=\"width: 20.9697%;\" align=\"center\"><strong> 3<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 11.1515%;\">Age, y<\/td>\n<td style=\"width: 22.5454%;\">&lt; 60<\/td>\n<td style=\"width: 23.0303%;\">60\u201379<\/td>\n<td style=\"width: 22.1819%;\">&gt;\/= 80<\/td>\n<td style=\"width: 20.9697%;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 11.1515%;\">Shock<\/td>\n<td style=\"width: 22.5454%;\">No shock<br \/>\nSystolic BP &gt; 100 mm Hg<br \/>\nPulse &lt;\u00a0 100 beats\/min<\/td>\n<td style=\"width: 23.0303%;\">Tachycardia<br \/>\nSystolic BP &gt; 100 mm Hg<br \/>\nPulse &gt; 100 beats\/min<\/td>\n<td style=\"width: 22.1819%;\">Hypotension<br \/>\nSystolic BP &lt;\u00a0 100 mm Hg<\/td>\n<td style=\"width: 20.9697%;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 11.1515%;\">Comorbidity<\/td>\n<td style=\"width: 22.5454%;\">Nil major<\/td>\n<td style=\"width: 23.0303%;\"><\/td>\n<td style=\"width: 22.1819%;\">Cardiac failure, ischemic heart disease, any major comorbidity<\/td>\n<td style=\"width: 20.9697%;\">Renal failure, liver failure, disseminated malignancy<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 11.1515%;\">Diagnosis<\/td>\n<td style=\"width: 22.5454%;\">Mallory\u2013Weiss tear, no lesion, and no SRH<\/td>\n<td style=\"width: 23.0303%;\">All other diagnoses<\/td>\n<td style=\"width: 22.1819%;\">Malignancy of upper-GI tract<\/td>\n<td style=\"width: 20.9697%;\"><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 11.1515%;\">Major SRH<\/td>\n<td style=\"width: 22.5454%;\">None, or dark spot<\/td>\n<td style=\"width: 23.0303%;\"><\/td>\n<td style=\"width: 22.1819%;\">Blood in upper-GI tract, adherent clot, visible or spurting vessel<\/td>\n<td style=\"width: 20.9697%;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>BP, blood pressure; SRH, stigmata of recent hemorrhage.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996 Mar;38(3):316-21. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8675081\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Tham TC, James C, Kelly M. Predicting outcome of acute non-variceal upper gastrointestinal haemorrhage without endoscopy using the clinical Rockall Score. Postgrad Med J. 2006 Nov;82(973):757-9. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17099097\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Sanders DS, Perry MJ, Jones SG, McFarlane E, Johnson AG, Gleeson DC, Lobo AJ. Effectiveness of an upper-gastrointestinal haemorrhage unit: a prospective analysis of 900 consecutive cases using the Rockall score as a method of risk standardisation. Eur J Gastroenterol Hepatol. 2004 May;16(5):487-94.<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15097042\/\" target=\"_blank\" rel=\"noopener noreferrer\"> [Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Jul 8, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[445,1201,450,794,494,507],"class_list":["post-2424","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-puntuacion","tag-rockall","tag-score","tag-scoring","tag-sistema","tag-system"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2424","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2424"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2424\/revisions"}],"predecessor-version":[{"id":9328,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2424\/revisions\/9328"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2424"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2424"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}