Glasgow-Blatchford Bleeding Score: Difference between revisions
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==Background== | ==Background== | ||
*Glasgow-Blatchford Bleeding Score (SBS) Screening tool to assess the likelihood that a patient with an acute [[ | *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)<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 | *May be able to identify patients who do not need to be admitted to hospital with upper gastrointestinal bleeding | ||
**16% of patients presenting with [[ | **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<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== | ==Criteria== | ||
{| | {| class="wikitable" | ||
|+ Glasgow-Blatchford Score | |+ '''Glasgow-Blatchford Score''' | ||
|- | |- | ||
!Admission risk marker | !Admission risk marker | ||
| Line 13: | Line 13: | ||
!colspan=2|Blood Urea | !colspan=2|Blood Urea | ||
|- | |- | ||
|≥6·5 <8·0 | |≥6·5 <8·0 (18-22.4mg/dL) | ||
|2 | |2 | ||
|- | |- | ||
|≥8·0 <10·0 | |≥8·0 <10·0 (22.4-28mg/dL) | ||
|3 | |3 | ||
|- | |- | ||
|≥10·0 <25·0 | |≥10·0 <25·0 (28-70mg/dL) | ||
|4 | |4 | ||
|- | |- | ||
|≥25 | |≥25 (≥70mg/dL) | ||
|6 | |6 | ||
|- | |- | ||
| Line 79: | Line 79: | ||
*[[Upper GI Bleed]] | *[[Upper GI Bleed]] | ||
== References == | ==References== | ||
<references/> | <references/> | ||
[[Category:GI]] | [[Category:GI]] | ||
Latest revision as of 06:35, 13 July 2017
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
| 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.