Harrison's Principles of Internal Medicine - 19th Edition (April 17, 2015)
|The Rockall Scoring System|
|Written by G. Firman MD|
|Friday, 08 July 2011 06:33|
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’s 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.
Summing up the different levels of a point grading system assigned to each of the components yields a subject’s 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 </= 2 are associated with a very low rate of bleeding recurrences and death and, therefore, can be reasonably managed as outpatients.
The Rockall scoring system
Created Jul 8, 2011.
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|Last Updated on Friday, 29 August 2014 11:48|
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