View source for 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 [[Special:MyLanguage/upper gastrointestinal bleeding|upper gastrointestinal bleeding]] will need medical intervention (i.e. blood transfusion and/or endoscopy)<ref>"A risk score to predict need for treatment for uppergastrointestinal haemorrhage"</ref>
*May be able to identify patients who do not need to be admitted to hospital with upper gastrointestinal bleeding
**16% of patients presenting with [[Special:MyLanguage/upper gastrointestinal bleeding|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<ref>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.</ref>


==Criteria==

{| class="wikitable"
|+ '''Glasgow-Blatchford Score'''
|-
!Admission risk marker
!Score component value
|-
!colspan=2|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
|-
!colspan=2|Hemoglobin (g/L) for men
|-
|≥12.0 <13.0
|1
|-
|≥10.0 <12.0
|3
|-
|<10.0
|6
|-
!colspan=2|Hemoglobin (g/L) for women
|-
|≥10.0 <12.0
|1
|-
|<10.0
|6
|-
!colspan=2|Systolic blood pressure (mm Hg)
|-
|100–109
|1
|-
|90–99
|2
|-
|<90
|3
|-
!colspan=2|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==

*[[Special:MyLanguage/Upper GI Bleed|Upper GI Bleed]]


==References==

<references/>

[[Category:GI]]
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