Rockall Score (upper GI bleeding)
Rockall upper-GI-bleed score (Rockall 1996): age band, shock, and comorbidity, plus (post-endoscopy) the endoscopic diagnosis and stigmata of recent hemorrhage.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Age band
- 60-79
- Shock
- Tachycardia (HR>=100, SBP>=100)
- Comorbidity
- None
- Endoscopic diagnosis
- All other diagnoses
- Stigmata of recent hemorrhage
- Blood, adherent clot, or visible/spurting vessel
- Use pre-endoscopy variant
- No
Result: Complete Rockall 5-7: high risk; mortality 24.6-39.6% per Rockall 1996 Figure 2.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- 0-2
- Low risk; mortality 0.1-0.4% per Rockall 1996 Figure 2.
- 3-4
- Intermediate risk; mortality 5.3-11.2% per Rockall 1996 Figure 2.
- 5-7
- High risk; mortality 24.6-39.6% per Rockall 1996 Figure 2.
- 8+
- Very high risk; mortality >=40% per Rockall 1996 Figure 2.
What you enter
- Age band (0 < 60 / 1 60-79 / 2 >= 80)
- Shock (0 none / 1 tachycardia / 2 hypotension)
- Comorbidity (0 none / 2 CHF-IHD / 3 renal-hepatic-failure or metastatic CA)
- Endoscopic diagnosis (0 Mallory-Weiss / 1 other / 2 upper-GI malignancy)
- Stigmata of recent hemorrhage (0 clean or dark spot / 2 blood, clot, or vessel)
- Use pre-endoscopy variant (omits diagnosis and stigmata)
How this is calculated
Rockall TA, Logan RFA, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996;38(3):316-321. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.