Oakland Score (lower GI bleeding safe discharge)

Oakland lower-GI-bleed safe-discharge score (Oakland 2017): age, sex, prior LGIB admission, blood on DRE, heart rate, SBP, and hemoglobin banded; total <= 8 identifies the 95%-safe-discharge group.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age
35 years
Sex
F
Previous LGIB admission
No
Blood on digital rectal examination
No
Heart rate
65 bpm
Systolic BP
165 mmHg
Hemoglobin
17 g/dL

Result: Oakland 0 - safe for outpatient management (95% probability of safe discharge per Oakland 2017; cutoff endorsed by BSG 2019).

The tool opens with these values already filled in. Replace them with your own.

What the result means

<=8
Safe for outpatient management; 95% probability of safe discharge per Oakland 2017 (cutoff endorsed by BSG 2019).
>8
Not in the safe-discharge band; inpatient assessment per Oakland 2017.

What you enter

  • Age
  • Sex
  • Previous LGIB admission
  • Blood on digital rectal examination
  • Heart rate
  • Systolic BP
  • Hemoglobin
How this is calculated

Oakland K, Jairath V, Uberoi R, et al. Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding: a modelling study. Lancet Gastroenterol Hepatol. 2017;2(9):635-643. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.