| 词条 | Rockall score | ||||||||||||||||||||||||
| 释义 |
| name = Rockall score | image = | alt = | caption = | pronounce = | purpose = | test of =assess after GI bleeding(for adverse outcome) | based on = | synonyms = | reference_range = | calculator = | DiseasesDB = | ICD10 = | ICD9 = | ICDO = | MedlinePlus = | eMedicine = | MeshID = | OPS301 = | LOINC = }} Rockall risk scoring system attempts to identify patients at risk of adverse outcome following acute upper gastrointestinal bleeding. Rockall et al. identified independent risk factors[1] in 1996 which were later shown to predict mortality accurately. The scoring system uses clinical criteria (increasing age, co-morbidity, shock) as well as endoscopic finding (diagnosis, stigmata of acute bleeding). It is named for Professor Tim Rockall, who was the main investigator and first author of the studies that led to its formulation. A convenient mnemonic is ABCDE - i.e. Age, Blood pressure fall (shock), Co-morbidity, Diagnosis and Evidence of bleeding.
InterpretationTotal score is calculated by simple addition. A score less than 3 carries good prognosis but total score more than 8 carries high risk of mortality.[3] See also
References1. ^{{cite journal |vauthors=Rockall TA, Logan RF, Devlin HB, Northfield TC |title=Risk assessment after acute upper gastrointestinal haemorrhage |journal=Gut |volume=38 |issue=3 |pages=316–21 |year=1996 |pmid=8675081 |doi=10.1136/gut.38.3.316 |pmc=1383057}} {{Gastroenterology}}2. ^{{cite journal |title=Non-variceal upper gastrointestinal haemorrhage: guidelines |journal=Gut |volume=51 Suppl 4 |issue= |pages=iv1–6 |year=2002 |pmid=12208839 |doi= 10.1136/gut.51.suppl_4.iv1 |author1= British Society of Gastroenterology Endoscopy Committee |pmc= 1867732|doi-broken-date=2019-02-13 }} 3. ^{{cite journal |vauthors=Vreeburg EM, Terwee CB, Snel P, etal |title=Validation of the Rockall risk scoring system in upper gastrointestinal bleeding |journal=Gut |volume=44 |issue=3 |pages=331–5 |year=1999 |pmid=10026316 |doi= 10.1136/gut.44.3.331|pmc=1727413}} 4 : Gastroenterology|Medical emergencies|Medical scoring system|Medical mnemonics |
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