Glasgow-Blatchford bleeding score (GBS)

Screening tool for acute upper gastrointestinal bleeding (UGIB)

 

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Results:

Summary of points for each parameter:
Blood urea: points.
Hemoglobin: points.
Systolic blood pressure: points.
Pulse: ( points).
------------
Melena: ( points).
Syncope: ( points).
Hepatic disease: ( points).
Heart failure: ( points).

Total points: 0.

Evaluation: With a current score of zero, the risk of an acute upper gastrointestinal bleed would be less than 1.8% (low risk). A patient with a score of zero can usually be treated effectively in an outpatient setting.



Score

Percent of Patients with Score requiring Intervention

0

1.8%

1

5.6%

2

11.5%

3

9%

4

23.6%

5

38%

6

50%

7

73%

8

78%

9

80%

10

96%

11

96%

12

99%

13

95%

>= 14

100%


Glasgow-Blatchford Score
Admission risk marker Score component value
Blood Urea (mmol/L)
<6.5 0
6.5-8.0 2
8.0-10.0 3
10.0-25 4
>25 6
Hemoglobin (g/dL) for men
>12.9 0
12.0-12.9 1
10.0-11.9 3
<10.0 6
Hemoglobin (g/dL) for women
>11.9 0
10.0-11.9 1
<10.0 6
Systolic blood pressure (mm Hg)
>109 0
100�109 1
90�99 2
<90 3
Other markers
Pulse >/=100 (per min) 1   (<100 = 0)
Presentation with melena 1   (no = 0)
Presentation with syncope 2   (no = 0)
Hepatic disease 2    (no = 0)
Cardiac failure 2    (no = 0)


References
  1. Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper gastrointestinal haemorrhage. Lancet 2000;356:1319.

  2. Gralnek IM, Dulai GS. Incremental value of upper endoscopy for triage of patients with acute non-variceal upper-GI hemorrhage. Gastrointestinal endoscopy. 2004 Jul; 60(1):9-14.

  3. Masaoka T, Suzuki H, Hori S, Aikawa N, Hibi T. Blatchford scoring system is a useful scoring system for detecting patients with upper gastrointestinal bleeding who do not need endoscopic intervention. Journal of gastroenterology and hepatology. 2007 Sep; 22(9):1404-8.