Glasgow-Blatchford Bleeding Score

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Background

  • Glasgow-Blatchford Bleeding Score (SBS) Screening tool to assess the likelihood that a patient with an acute upper gastrointestinal bleeding will need medical intervention (i.e. blood transfusion and/or endoscopy)[1]
  • May be able to identify patients who do not need to be admitted to hospital with upper gastrointestinal bleeding
    • 16% of patients presenting with upper gastrointestinal bleeding had a GBS score of "0", considered low. Among these patients there were no deaths or interventions needed and the patients were able to be effectively treated in an outpatient setting[2]

Criteria

Glasgow-Blatchford Score
Admission risk marker Score component value
Blood Urea
≥6·5 <8·0 (18-22.4mg/dL) 2
≥8·0 <10·0 (22.4-28mg/dL) 3
≥10·0 <25·0 (28-70mg/dL) 4
≥25 (≥70mg/dL) 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
Other markers
Pulse ≥100 (per min) 1
Presentation with melaena 1
Presentation with syncope 2
Hepatic disease 2
Cardiac failure 2

In the validation group, scores of 6 or more were associated with a greater than 50% risk of needing an intervention.

See Also

References

  1. "A risk score to predict need for treatment for uppergastrointestinal haemorrhage"
  2. Stanley AJ et al. Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: Multicentre validation and prospective evaluation. Lancet 2009 Jan 3; 373:42.