What is the Rockall Score?

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.

How is the Child-Pugh Score used?

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.

What is the MELD score's role in GI?

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.

Gastroenterology Scoring Tools

GI-specific scoring tools including the Rockall Score for upper GI bleeding risk stratification and the Child-Pugh Score for liver disease severity. Used for prognosis and guiding management decisions in gastroenterology.

This category currently includes 10 tools, including Rockall Score, Glasgow-Blatchford, and AIMS65.

These resources are built for clinicians, trainees, and medically informed patients who need fast bedside calculations. Use the results as decision support and pair them with full clinical context and local guidelines.

All Gastroenterology Tools (10)

Rockall Score

Calculate the Rockall score to predict rebleeding and mortality in upper GI hemorrhage. Pre-endoscopy score ≤2: low risk for rebleeding. Post-endoscopy score 0: <5% rebleeding risk.

Glasgow-Blatchford

Calculate the Glasgow-Blatchford score to identify low-risk upper GI bleed patients. Score 0–1: safe for outpatient endoscopy without admission. Higher scores guide urgency and ICU level of care.

AIMS65

Estimate in-hospital mortality risk in upper GI bleeding using the 5-item AIMS65 score.

FIB-4

Estimate liver fibrosis risk using age, AST, ALT, and platelet count with the FIB-4 index.

AST/ALT Ratio

Calculate the AST/ALT ratio as an adjunct liver injury pattern marker in hepatology evaluation.

APRI Score

Estimate liver fibrosis risk using AST, AST upper-limit-of-normal, and platelet count with the APRI equation.

NAFLD Fibrosis Score

Estimate advanced fibrosis risk in fatty liver disease using age, BMI, diabetes status, AST/ALT ratio, platelets, and albumin.

BISAP Score

Estimate early severity risk in acute pancreatitis using the BISAP bedside score (0-5) during the first 24 hours.

Bristol Stool Scale

Classify stool form using the Bristol Stool Scale to support constipation/diarrhea pattern assessment and symptom tracking.

Wexner Constipation Score

Quantify constipation symptom burden with the Wexner (Cleveland Clinic) constipation scoring system.

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