Oakland score

The Oakland score identifies adults with lower gastrointestinal bleeding who can be safely discharged for outpatient investigation. The British Society of Gastroenterology recommends it for triage.

Sex
Previous admission for lower GI bleeding
Blood on digital rectal examination
Observations and blood results

Enter the values above.

Points

Points
Age 40 to 69 / 70 or over1 / 2
Male sex; previous LGIB admission; blood on rectal examination1 each
Heart rate 70 to 89 / 90 to 109 / 110 or more1 / 2 / 3
Systolic pressure 50 to 89 / 90 to 119 / 120 to 129 / 130 to 159 / 160 or more5 / 4 / 3 / 2 / 0
Haemoglobin (g/L) 36 to 69 / 70 to 89 / 90 to 109 / 110 to 129 / 130 to 159 / 160 or more22 / 17 / 13 / 8 / 4 / 0

References

Oakland K, Jairath V, Uberoi R, et al. Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding: a modelling study. Lancet Gastroenterol Hepatol. 2017;2(9):635-643.

Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut. 2019;68(5):776-789.