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 [[UGIB]] will need medical intervention (i.e. blood transfusion and/or endoscopy)<ref>"A risk score to predict need for treatment for uppergastrointestinal haemorrhage" | *Glasgow-Blatchford Bleeding Score (SBS) Screening tool to assess the likelihood that a patient with an acute [[UGIB]] 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 UGIB | *May be able to identify patients who do not need to be admitted to hospital with UGIB | ||
**16% of patients presenting with [[UGIB]] 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> | **16% of patients presenting with [[UGIB]] 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> | ||
Revision as of 12:59, 8 May 2014
Background
- Glasgow-Blatchford Bleeding Score (SBS) Screening tool to assess the likelihood that a patient with an acute UGIB 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 UGIB
Criteria
| Admission risk marker | Score component value |
|---|---|
| Blood Urea | |
| ≥6·5 <8·0 | 2 |
| ≥8·0 <10·0 | 3 |
| ≥10·0 <25·0 | 4 |
| ≥25 | 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.