Oakland Score for Lower GI Bleeding
Predicts safe discharge of adult patients presenting with acute lower GI bleeding. Score ≤8 associated with >95% probability of safe discharge.
Score interpretation
Oakland Score ≤8 — >95% probability of safe discharge without major interventions
→ Can be safely discharged; arrange outpatient colonoscopy within 4 weeks; return precautions given
Score 9–11 — intermediate risk; admission for observation appropriate
→ Admit for monitoring; inpatient colonoscopy; haematology/gastroenterology review
Score ≥12 — high risk requiring blood transfusion and/or therapeutic intervention
→ Urgent gastroenterology/surgical review; blood transfusion threshold lower; urgent colonoscopy or intervention radiology if haemodynamically unstable
Interpretation bands for the Oakland Score. Apply clinical judgement and local guidance.
References
- Oakland K et al. Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding. Gut. 2017;66(11):1928–1935.
Related
Curated clinical cross-links plus same-class fallbacks.
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Hydrocortisone Acetate Rectal Foam / Enema · Topical Rectal Corticosteroid
- Sodium Acid Phosphate Enema · Osmotic / Stimulant Rectal Laxative
- Glycerol Suppositories · Stimulant / Osmotic Rectal Laxative
- Budesonide (Oral / Rectal) · Corticosteroid — Locally Acting (GI)
- Diazepam (Rectal) · Benzodiazepine / Antiepileptic
- Acute Liver Failure · EASL 2017 / BSG
- Decompensated Cirrhosis · BSG 2015 / EASL 2018
- IBD Acute Flare Assessment · ECCO / BSG 2019
- Hepatitis B Management · EASL 2017 / NICE NG33
- Dysphagia Assessment Pathway · BSG 2010 / NICE NG12
- Paracetamol overdose · TOXBASE/NPIS; MHRA DSU 2012/2024; SNAP regimen (Lancet 2014)
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.