Calculateur du score de Rockall clinique (préendoscopique) original

État

clinical-review-pending

Version de la méthode

Rockall et al. 1996 original clinical/pre-endoscopy Rockall arithmetic v1 (raw integer 0–7): completed age <60 years = 0 points, 60–79 = 1, and >=80 = 2. Presentation shock is assigned from systolic blood pressure and heart rate: systolic blood pressure >=100 mmHg with heart rate <100 beats/min = no shock and 0 points; systolic blood pressure >=100 mmHg with heart rate >=100 beats/min = tachycardia and 1 point; systolic blood pressure <100 mmHg = hypotension and 2 points regardless of heart rate. One clinician-assessed source comorbidity category is required: none = 0; cardiac failure, ischemic heart disease, or another major comorbidity = 2; renal failure, liver failure, or disseminated malignancy = 3. The raw total is the unrounded sum of these three complete component assignments. The distinct complete/post-endoscopy Rockall model, including endoscopic diagnosis and stigmata, is excluded; no partial score, threshold, category, probability, prognosis, disposition, endoscopy timing, management, or treatment logic is supplied.

Population

People older than 16 years with independently established suspected acute upper-gastrointestinal hemorrhage at one initial pre-endoscopy presentation for whom applicability of the original UK multicentre population-based setting is independently established. The score was derived from 4,185 unselected cases identified over four months in 1993 and prospectively validated in 1,625 cases identified over three months in 1994. Completed age, systolic blood pressure, heart rate, and one explicit clinician-assessed source comorbidity category must be complete and anchored to the same initial presentation before endoscopy or intervention; measurement, unit, source-value, timing, and category identities must be verified, and the comorbidity category must not be inferred. This arithmetic does not establish the bleeding diagnosis, source-population applicability, or any clinical action.

Limites et exclusions

The complete or post-endoscopy Rockall score, endoscopic diagnosis, endoscopic stigmata of recent hemorrhage, or any attempt to derive or imply those missing components. · Any published or later threshold, low/high or other result category, individual probability or estimate of mortality, rebleeding, intervention, surgery, transfusion, or length of stay, prognosis, reassurance, disposition, admission, discharge or outpatient-care decision, endoscopy timing, monitoring, management, treatment, recommendation, or any other clinical decision. · Age 16 years or younger; no independently established suspected acute upper-gastrointestinal hemorrhage; lower-GI or nonacute bleeding; use outside the original UK source setting without independent transportability assessment; a post-endoscopy assessment; or values from different presentations, episodes, time points, or after intervention. · Missing, inferred, imputed, default-normal, carried-forward, rounded-before-scoring, nonquantitative, or otherwise unverified inputs; an unknown comorbidity treated as none; automatic inference of a source comorbidity category; an altered category; or a partial score.

• https://pubmed.ncbi.nlm.nih.gov/8675081/
• https://doi.org/10.1136/gut.38.3.316
• https://pmc.ncbi.nlm.nih.gov/articles/PMC1383057/
• https://www.nice.org.uk/guidance/cg141/evidence/acute-upper-gi-bleeding-full-guideline-186534541

Outil importé de la bibliothèque PharmaTek de MDose. Aucune date de révision clinique indépendante n’est documentée dans cette version.

Bibliothèque source

PharmaTek · MDose

Version importée

4b66536936ed

État de publication

Révision clinique en cours