Age:
Less than 60
60 -79
80 or older
Shock (Hameodynamic stability)
Not in shock
Tachycardia > 100 beats per min
Hypotensive, SBP < 100
Co-morbidities
No comorbidities
Ischaemic heart disease or congestive cardiac failure or any other major cormobidity
Liver failure or kidney failure or metastatic cancer
Diagnosis
Mallory-Weiss tear
All other diagnosis
Gastro intestinal malignancy
Evidence of bleeding
None
Blood, spurting vessel, adherent clot
Rockall score and corresponding risk of mortality
Score
Mortality
Mortality with rebleed
Score 1
Nil
Nil
Score 2
Nil
Nil
Score 3
5%
5-10%
Score 4
5-10%
15-25%
Score 5
5-10%
15-25%
Score 6
5-10%
15-25%
Score 7+
10-35%
25-50%
Formula:
Score 0
Score 1
Score 2
Score 3
Age
<60
60- 79
>80
Shock
No shock
Pulse >100
SBP <100
Comorbidity
Nil major
CCF, IHD, major morbidity
Renal failure, liver failure, metastatic cancer
Diagnosis
Mallory-Weiss
All other diagnoses
GI malignancy
Evidence of bleeding
None
Blood, adherent clot, spurting vessel