rockall_score_complete: Rockall Score for Upper GI Bleeding (Complete)

In cliot: Clinical Indices and Outcomes Tools

Rockall Score for Upper GI Bleeding (Complete)

Description

Calculates the complete Rockall Score to predict the risk of mortality and rebleeding in patients with upper gastrointestinal bleeding. This version requires endoscopic findings (diagnosis and stigmata of recent hemorrhage).

Usage

rockall_score_complete(age, systolic_bp, heart_rate, comorbidity_category,
                       diagnosis_category, major_stigmata_present)

Arguments

age	Numeric. Patient age in years.
systolic_bp	Numeric. Systolic blood pressure in mmHg.
heart_rate	Numeric. Heart rate in beats per minute.
comorbidity_category	String. Major comorbidities. "none": No major comorbidity (0 pts). "cardiac_other": Heart failure, ischemic heart disease, or other major morbidity (2 pts). "renal_liver_metastatic": Renal failure, liver failure, or metastatic cancer (3 pts).
diagnosis_category	String. Diagnosis determined by endoscopy. "mallory_weiss_none": Mallory-Weiss tear or no lesion identified (0 pts). "all_other": All other diagnoses (e.g., ulcers, erosions, esophagitis) (1 pt). "malignancy": Malignancy of the upper GI tract (2 pts).
major_stigmata_present	Numeric (0 or 1). Presence of major stigmata of recent hemorrhage (blood in upper GI tract, adherent clot, visible or spurting vessel). (1 = Yes, +2 pts). Note: Clean base or dark spot only is 0 pts.

Value

A list containing:

Rockall_Score	The calculated score (Range 0-11).
Mortality_Risk	Estimated mortality risk percentage.
Rebleed_Risk	Estimated rebleeding risk percentage.

References

Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996;38(3):316-321. doi:10.1136/gut.38.3.316

Examples

# Example 1: High Risk
# 70yo (+1), SBP 95 (+2), Renal Failure (+3), Ulcer (+1), Visible Vessel (+2)
# Score = 9
rockall_score_complete(70, 95, 100, "renal_liver_metastatic", "all_other", 1)

# Example 2: Low Risk
# 45yo (0), SBP 120 (0), No Comorbs (0), Mallory-Weiss (0), No Stigmata (0)
# Score = 0
rockall_score_complete(45, 120, 70, "none", "mallory_weiss_none", 0)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.