Glasgow-Blatchford Bleeding Score (GBS)
Stratifies Upper GI bleeding patients who are "low-risk" and candidates for outpatient management.
Low risk = Score of 0. Any score higher than 0 is "high risk" for needing a medical intervention of transfusion, endoscopy, or surgery.
Glasgow-Blatchford Score
| Blood Urea (mmol/L) | |
|---|---|
| ≥6·5 <8·0 | 2 |
| ≥8·0 <10·0 | 3 |
| ≥10·0 ≤25·0 | 4 |
| >25 | 6 |
| Hemoglobin (g/dL) for men | |
| ≥12.0 <13.0 | 1 |
| ≥10.0 <12.0 | 3 |
| <10.0 | 6 |
| Hemoglobin (g/dL) 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 |
- A risk score to predict need for treatment for uppergastrointestinal haemorrhage. Lancet 2000.
- A risk score to predict need for treatment for uppergastrointestinal haemorrhage. Am J Emerg Med. 2007.
- Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. The Lancet, 2009.
- Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. The Lancet, 2009.
Posted in: Critical Care • Gastroenterology • Gastrointestinal • Hematology • Hematology/Oncology • Hepatology
