Glasgow-Blatchford Bleeding Score

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)
• 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

Criteria

Glasgow-Blatchford Score

Admission risk marker	Score component value
Blood Urea
≥6·5 <8·0 (18-22.4 mg/dL)	2
≥8·0 <10·0 (22.4-28 mg/dL)	3
≥10·0 <25·0 (28-70 mg/dL)	4
≥25 (≥70 mg/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.

See Also

• Upper GI Bleed