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Glasgow-Blatchford Bleeding Score
Aka: Glasgow-Blatchford Bleeding Score, Upper GI Bleeding Score
- See Also
- Rockall Risk Score
- Upper Gastrointestinal Bleeding
- Indication
- Upper Gastrointestinal Bleeding risk stratification
- Criteria
- Blood Urea Nitrogen (BUN)
- BUN 18.2 to 22.4 mg/dl (6.5 to 8 mmol/L): Score 2
- BUN 22.4 to 28 mg/dl (8 to 10 mmol/L): Score 3
- BUN 28 to 70 mg/dl (10 to 25 mmol/L): Score 4
- BUN >70 mg/dl (>25 mmol/L): Score 6
- Hemoglobin
- Men
- Hemoglobin 12 to 13 g/dl: Score 1
- Hemoglobin 10 to 12 g/dl: Score 3
- Hemoglobin <10 g/dl: Score 6
- Women
- Hemoglobin 10 to 12 g/dl: Score 1
- Hemoglobin <10 g/dl: Score 6
- Systolic Blood Pressure (SBP)
- SBP 100 to 109 mmHg: Score 1
- SBP 90 to 99 mmHg: Score 2
- SBP <90 mmHg: Score 3
- Miscellaneous Markers
- Pulse >100 per minute: 1
- Presentation with Melena: 1
- Presentation with Syncope: 2
- Hepatic disease: 2
- Cardiac failure: 2
- Interpretation
- Assesses probability for intervention (Blood Transfusion, endoscopy, surgery)
- Score 0
- Low risk for intervention
- Reasonable to manage as outpatient
- Score >0
- Increased risk for intervention and inpatient management is recommended
- However most cases <5 respond without signficant intervention
- Score >5
- High risk for intervention
- References
- Blatchford (2000) Lancet 356(9238):1318-21 [PubMed]
- Chen (2007) Am J Emerg Med 25(7):774-9 [PubMed]
- Mustafa (2015) Eur J Gastroenterol Hepatol 27(5): 512-5 +PMID:25822859 [PubMed]