Gastroenterology Scoring Tools

The Rockall Score predicts mortality risk in patients with upper gastrointestinal bleeding. It has a pre-endoscopy component (age, shock, comorbidities) and a post-endoscopy component (diagnosis, stigmata of recent hemorrhage). A pre-endoscopy score of 0 identifies very low-risk patients who may not need urgent endoscopy.

The Child-Pugh Score classifies liver cirrhosis severity into three classes: A (5–6 points, well-compensated), B (7–9 points, significant functional compromise), and C (10–15 points, decompensated). It predicts surgical mortality and helps guide decisions about liver transplant evaluation and medication dosing.

While MELD is primarily used for liver transplant allocation, it also predicts 90-day mortality in patients with end-stage liver disease and helps assess surgical risk in cirrhotic patients. The MELD-Na score (incorporating sodium) has largely replaced the original MELD for transplant prioritization.