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Rockall score

Estimates mortality and rebleeding risk in upper gastrointestinal bleeding. Clinical factors (age, shock, comorbidities) give the pre-endoscopic score; adding diagnosis and stigmata gives the complete score.

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Check the population, units and version. The result shows the formula or classification; it does not make an automatic treatment decision.

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Method · Limits of application

Rockall 1996: pre-endoscopic 0–7 and complete 0–11; distinct from GBS

The 1996 Rockall was studied in people older than 16 years with acute upper gastrointestinal bleeding. The full version depends on the diagnosis and endoscopic stigmata; the pre-endoscopic version lacks that information. Stratification helps consider management but does not determine individual discharge safety or absence of rebleeding.

Required fields: 0/5 completed

Complete all required fields. Optional fields are marked.

Age required

Shock required

Comorbidities required

Endoscopic diagnosis required

Stigmata of recent bleeding required

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

Age
Shock
Comorbidities
Endoscopic diagnosis
Stigmata of recent bleeding

5/5 reference cases checked. Numerical tests are not clinical validation.

Sources and documentation

Documented formula

Transcribed from the source or a recorded revision; this is not a clinical recommendation.

Pre-endoscopic (0 to 7): age (0 to 2) + shock (0 to 2) + comorbidities (0, 2 or 3).

Complete (0 to 11): also adds diagnosis (0 to 2) and stigmata of recent bleeding (0 or 2).

References

Identifier: escore-de-rockall

Original clinical content: Brazilian Portuguese.

Method version

Rockall 1996: pre-endoscopic 0–7 and complete 0–11; distinct from GBS

escore-de-rockall@native-2026-10-05+de6312367a53

Source for the active edition

The bibliographic edition identifies the source. By itself, it proves neither full conformity of the formula nor clinical approval.

Synthetic cases checked (5)

Synthetic cases for checking the implementation, with no patient data.

Case 1

reference-001

Inputs

Age: < 60 years
Shock: No shock (systolic blood pressure ≥ 100 and heart rate < 100)
Comorbidities: None significant
Endoscopic diagnosis: Endoscopy not yet performed
Stigmata of recent bleeding: Endoscopy not yet performed

{
  "idade": "0",
  "choque": "0",
  "comorb": "0",
  "diag": "na",
  "estigma": "na"
}

Expected result

{
  "pre": 0
}

Actual result

{
  "pre": 0,
  "score": 0
}

Case 2

reference-002

Inputs

Age: ≥ 80 years
Shock: Hypotension (systolic blood pressure < 100 mmHg)
Comorbidities: Heart failure, ischemic heart disease or other significant comorbidity
Endoscopic diagnosis: Endoscopy not yet performed
Stigmata of recent bleeding: Endoscopy not yet performed

{
  "idade": "2",
  "choque": "2",
  "comorb": "2",
  "diag": "na",
  "estigma": "na"
}

Expected result

{
  "pre": 6
}

Actual result

{
  "pre": 6,
  "score": 6
}

Case 3

reference-003

Inputs

Age: 60 to 79 years
Shock: No shock (systolic blood pressure ≥ 100 and heart rate < 100)
Comorbidities: None significant
Endoscopic diagnosis: All other diagnoses
Stigmata of recent bleeding: None or dark spot only (hematin)

{
  "idade": "1",
  "choque": "0",
  "comorb": "0",
  "diag": "1",
  "estigma": "0"
}

Expected result

{
  "score": 2,
  "pre": 1
}

Actual result

{
  "pre": 1,
  "score": 2
}

Case 4

reference-004

Inputs

Age: 60 to 79 years
Shock: Tachycardia (systolic blood pressure ≥ 100 and heart rate ≥ 100)
Comorbidities: Heart failure, ischemic heart disease or other significant comorbidity
Endoscopic diagnosis: Mallory-Weiss or no lesion (no stigmata)
Stigmata of recent bleeding: None or dark spot only (hematin)

{
  "idade": "1",
  "choque": "1",
  "comorb": "2",
  "diag": "0",
  "estigma": "0"
}

Expected result

{
  "score": 4
}

Actual result

{
  "pre": 4,
  "score": 4
}

Case 5

reference-005

Inputs

Age: ≥ 80 years
Shock: Hypotension (systolic blood pressure < 100 mmHg)
Comorbidities: Renal failure, liver failure or disseminated cancer
Endoscopic diagnosis: Upper gastrointestinal neoplasm
Stigmata of recent bleeding: Blood in the upper gastrointestinal tract, adherent clot, visible vessel or spurting bleeding

{
  "idade": "2",
  "choque": "2",
  "comorb": "3",
  "diag": "2",
  "estigma": "2"
}

Expected result

{
  "score": 11,
  "pre": 7
}

Actual result

{
  "pre": 7,
  "score": 11
}

Code and reproducibility

This tool’s code on GitHub

Download code and tests

Sources, version and reproduction instructions

README

Local installation

Code license: Apache-2.0

Guidelines and conditions

This repository’s license applies to the code. Third-party instruments, questionnaires, data and models remain subject to their owners’ conditions.

The code tests are technical checks. Clinical approval and professional translation review are recorded separately.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.