Rockall Score Calculator (Upper GI Bleed Risk)
The full Rockall score estimates the risk of rebleeding and death after acute upper-gastrointestinal bleeding from five factors — age, shock, comorbidity, the endoscopic diagnosis and stigmata of recent haemorrhage — for a total of 0 to 11. The pre-endoscopy (clinical) Rockall uses only the first three (0 to 7).
Quick answer
The full Rockall score adds points for age (0–2), shock (0–2), comorbidity (0–3), the endoscopic diagnosis (0–2) and stigmata of recent haemorrhage (0 or 2), for a total of 0–11, to estimate rebleeding and mortality after an upper-GI bleed. A score of 0–2 is low risk, 3–5 intermediate, and 6 or more high risk.
Clinical (pre-endoscopy) factors
Endoscopic factors (full Rockall)
Low risk of rebleeding and death (0–2)
The full Rockall score is 0/11: low risk of rebleeding and death (0–2). The pre-endoscopy (clinical) score uses only age, shock and comorbidity (0–7).
This is a reference estimate of rebleeding and mortality risk that supports — but does not replace — clinical assessment. A clinician interprets it alongside the endoscopic findings.
How to use the Rockall calculator
- 1Select age and shock. Choose the age band (under 60, 60–79, or 80 and over) and the shock state (no shock, tachycardia, or hypotension).
- 2Select comorbidity, diagnosis and stigmata. Choose the comorbidity group, the endoscopic diagnosis, and whether major stigmata of recent haemorrhage are present.
- 3Read the score and band. The tool totals 0–11 and shows the low / intermediate / high band. The pre-endoscopy (clinical) Rockall uses only the first three items (0–7).
Medical disclaimer: This is general health information, not medical advice. It does not diagnose or treat any condition, and the results are estimates based on public reference formulas. Always consult a qualified doctor about your individual health. If you think you may have a medical emergency, contact your local emergency services immediately.
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Book a consultationFrequently asked questions
What is the difference between the clinical and full Rockall score?⌄
The pre-endoscopy (clinical) Rockall uses only age, shock and comorbidity (0–7) and can be calculated on admission. The full Rockall adds the endoscopic diagnosis and stigmata of recent haemorrhage (0–11) once endoscopy has been done.
What Rockall score is low risk?⌄
A full Rockall score of 0–2 is generally regarded as low risk for rebleeding and death; 3–5 is intermediate and 6 or more is high risk. A clinician interprets the number alongside the endoscopic findings.
Is the Rockall score the same as the Glasgow-Blatchford score?⌄
No. The Glasgow-Blatchford score uses admission data only (no endoscopy) to predict the need for intervention, while the Rockall score (especially the full version) uses endoscopic findings to estimate rebleeding and mortality.
Is my data stored?⌄
No. The calculator runs entirely in your browser; nothing you enter is sent to a server.
Sources & validation
This calculator reproduces the published Rockall score, validated for rebleeding and mortality risk after acute upper-gastrointestinal bleeding.
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