Diagnosis and therapy of non-variceal upper gastrointestinal bleeding

Table 3 Clinical (pre endoscopy) and full (post endoscopy) Rockall score[11]

Variable	Score 0	Score 1	Score 2	Score 3
Age	< 60	60-79	≥ 80
Shock	No shock	Pulse ≥ 100	Systolic blood pressure < 100
		Systolic blood pressure ≥ 100
Co-morbidity	Non major		Chronic heart failure, ischemic heart disease, major comorbidity	Renal failure, liver failure, metastatic cancer
Diagnosis	Mallory-Weiss lesion	All other diagnoses	GI malignancy
Evidence of bleeding	None		Blood, adherent clot, visible or spurting vessel

The first three rows make up the clinical score. After endoscopy the scores from the last two rows are added to create the full score. Scores are additive. A score of 0 for the clinical and scores from 0-2 for the full score are the clinical cut-offs to indicate patients at low risk of re-bleeding or death. GI: Gastrointestinal.