Skip to main content

Table 4 Comparison of Blatchford and Rockall risk scoring systems

From: Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper

Risk factor

Blatchford Score

 

Pre endoscopic Rockfall score

 
 

Parameter

Score

Parameter

Score

Age (yr)

-

 

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

-

 
 

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

-

 
 

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

-

 

Non malignant, non Mallory-Weiss

1

 

-

 

Upper GI malignancy

2

Evidence of bleeding

-

 

Blood, adherent clot, active bleeding

2

  1. M: Male; F: Female; SBP: Systolic blood pressure; CHF: Congestive heart failure; IHD: ischemic hearth disease.