From: Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper
Risk factor | Blatchford Score | Â | Pre endoscopic Rockfall score | Â |
---|---|---|---|---|
 | Parameter | Score | Parameter | Score |
Age (yr) | - | Â | 60-79 | 1 |
 | - |  | ≥ 80 | 2 |
SBP (mmHg) | 100-109 | 1 | <100 | 2 |
 | 90-99 | 2 | - |  |
 | <90 | 3 | - |  |
BPM | > 100 | 1 | > 100 with SPB ≥ 100 | 1 |
Clinical presentation | Melena | 1 | - | Â |
 | Synocpe | 2 | - |  |
Comorbidity | Hepatic disease | 2 | CHF, IHD, major comorbidity | 2 |
 | Cardiac failure | 2 | Renal or liver failure, metastases | 3 |
Blood urea (mg/dL) | 18.2-22.3 | 2 | - | Â |
 | 22.4-27.9 | 3 | - |  |
 | 28-69.9 | 4 | - |  |
 | ≥ 70 | 6 | - |  |
Hemoglobin g/dL | F: 10–11.9 | 1 | - |  |
 | M: 10–11.9 | 3 | - |  |
 | F/M: < 10 | 6 | - |  |
 |  |  | Complete Rockfall score |  |
Endoscopic diagnosis | - | Â | Non malignant, non Mallory-Weiss | 1 |
 | - |  | Upper GI malignancy | 2 |
Evidence of bleeding | - | Â | Blood, adherent clot, active bleeding | 2 |