Interpretation
| Result | Meaning |
|---|---|
| ≤ 8 | 95% probability of safe discharge (outpatient colonoscopy) |
| > 8 | Admit; risk rises with score |
Formula
Age <40 = 0, 40–69 = 1, ≥70 = 2 · Male 1 · Prior LGIB admission 1 · Blood on DRE 1 · HR <70 = 0, 70–89 = 1, 90–109 = 2, ≥110 = 3 · SBP 50–89 = 5, 90–119 = 4, 120–129 = 3, 130–159 = 2, ≥160 = 0 · Hb (g/L) 36–69 = 22, 70–89 = 17, 90–109 = 13, 110–129 = 8, 130–159 = 4, ≥160 = 0
Clinical pearls
- Hemoglobin bands are in g/L (×10 for g/dL).
- Higher thresholds (≤10) have been validated in some cohorts and increase the proportion discharged.
- Not for upper GI bleeding; use Glasgow-Blatchford.
Examples
oakland 35F no prior bleed dre blood hr 75 sbp 125 hb 135Oakland score for a 72 year old man, prior LGIB admission, blood on PR, pulse 95, BP 110 systolic, hemoglobin 10.0lower gi bleed score 45M hr 65 sbp 165 hgb 165 g/L no dre blood
FAQ
What Oakland score is safe to discharge?
A score of 8 or less predicts a 95% probability of safe discharge; BSG guidance supports outpatient investigation for these patients.