Complete Rockall Score Calculator for Upper GI bleeding

상부위장관 출혈의 재출혈 및 사망 위험도 예측. 내시경 검사 후 평가 (Age + Shock + Comorbidity + Diagnosis + Major SRH).

Age: 60세 미만 60 ~ 79세 80세 이상

Shock: No shock (HR ＜ 100 bpm & SBP ≥ 100 mmHg) Tarchycardia (HR ≥ 100 bpm & SBP ≥ 100 mmHg) Hypotension (SBP ＜ 100 mmHg)

Comorbidities: No major comorbidity Cardiac failure, ischemic heart disease, any major comorbidity Renal failure, liver failure, disseminated maliganacy
*Comorbidities: Cardiac failure, Ischemic heart disease, Asthma, COPD, Diabetes mellitus, Rheumatoid arthritis, Liver failure, Renal failure, Disseminated malignancy, Pneumonia, Dementia, Recent major operation, Malignancy, CVA/TIA, Hematological malignancy, Hypertension, Trauma/burns, Other cardiac disease, Major sepsis, Other liver disease

Diagnosis: MV tear, no lesion identifed and no SRH All other diagnoses Malignancy of upper GI tract
*All other diagnoses: Peptic ulcer, Varices, Erosive disease, Esophagitis, Other (기타 출혈 원인)

Major SRH: None or dark spot only Blood in upper GI tract, adherent clot, visible or spurting vessel
*MV tear: Mallory-Weiss tear
*SRH: Stigmata of recent hemorrhage

8점 이상: Very high risk
5~7점: High risk
3~4점: Intermediate risk
0~2점: Low risk

Reference :
Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996 Mar;38(3):316-21. doi: 10.1136/gut.38.3.316. PMID: 8675081; PMCID: PMC1383057.