Units: US SI

Glasgow-Blatchford Bleeding Score (GBS)

Is patient female? Yes
Hemoglobin
BUN mg/dL
Initial Systolic Blood Pressure mm Hg
Heart Rate ≥ 100 Yes
Does the patient have melena? Yes
Did the patient have syncope? Yes
Does the patient have hepatic disease? Yes
Does the patient have heart failure? Yes
Score points

Glasgow-Blatchford Score

Blood Urea
≥6·5 <8·0 2
≥8·0 <10·0 3
≥10·0 <25·0 4
≥25 6
Hemoglobin (g/L) for men
≥12.0 <13.0 1
≥10.0 <12.0 3
<10.0 6
Hemoglobin (g/L) for women
≥10.0 <12.0 1
<10.0 6
Systolic blood pressure (mm Hg)
100–109 1
90–99 2
<90 3
Pulse ≥100 (per min) 1
Presentation with melaena 1
Presentation with syncope 2
Hepatic disease 2
Cardiac failure 2

Low risk = Score of 0. Any score higher than 0 is "high risk" for needing a medical intervention of transfusion, endoscopy, or surgery.

Equations

Scores