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Table 5 The Rockall scoring system

From: A Fibreoptic endoscopic study of upper gastrointestinal bleeding at Bugando Medical Centre in northwestern Tanzania: A retrospective review of 240 cases

Variables Responses Scores
Age (in years) < 60 0
  60-79 1
  >80 2
Shock No shock 0
  Tachycardia (SBP > 100 mmHg, Pulse > 100 beats/minute) 1
  Hypotension (SBP < 100 mmHg, Pulse > 100 beats/minute) 2
Co-morbidity None 0
  Cardiac failure, IHD, any major co-morbidity 2
  Renal/liver failure, metastatic malignancy 3
Diagnosis (post-endoscopy) Mallory-Weiss tears 0
  All other diagnoses 1
  Malignancy of the upper GI tract 2
Stigmata of recent haemorrhage None 0
  Blood, adherent clot, spurting vessel 2
  1. Keys: SBP = systolic blood pressure, IHD = ischemic heart disease, GI = gastrointestinal.
  2. Interpretation
  3. Add up the criteria scores to get value.
  4. < 3 indicates good prognosis (low risk for developing adverse outcomes).
  5. 3–8 indicates moderate prognosis (medium risk for developing adverse outcomes).
  6. > 8 indicates poor prognosis (high risk for developing adverse outcomes).