Association Between Rockall Score and Clinical Parameters in Patients with Upper Gastrointestinal Bleeding

Upper gastrointestinal bleeding (UGIB) is a medical emergency that requires prompt risk assessment to guide treatment. One commonly used tool for this is the Rockall Score, which helps predict the chances of complications like rebleeding or death.This study looks at how the Rockall Score relates to a range of clinical factors, including patient age, co-existing illnesses, lab test results, vital signs, imaging findings, and patient outcomes. We analysed 141 cases and found strong links between higher Rockall Scores and several key factors-especially chronic liver disease, diabetes, hypertension, kidney problems, and the use of antiplatelet drugs. Abnormal vital signs (like increased heart rate or low oxygen levels), poorer neurological status, and certain blood markers (like lactate and INR) were also associated with higher scores. Importantly, patients with higher scores were more likely to die or require aggressive treatments like intubation or blood transfusions. Our findings reinforce the Rockall Score as a valuable guide in managing UGIB.