Interactive Glasgow-Blatchford Bleeding Score. Requires the calculator gadget.
Usage: {{Glasgow Blatchford Calculator}}
Glasgow-Blatchford Bleeding Score
Glasgow-Blatchford Bleeding Score (GBS)
| Criteria |
Select
|
| BUN (mg/dL)
|
1 <18.2 (0) 18.2–22.3 (+2) 22.4–27.9 (+3) 28–69.9 (+4) ≥70 (+6)
|
| Hemoglobin — Male (g/dL)
|
1 ≥13 (0) 12–12.9 (+1) 10–11.9 (+3) <10 (+6)
|
| Hemoglobin — Female (g/dL)
|
1 ≥12 (0) 10–11.9 (+1) <10 (+6)
|
| Systolic BP (mmHg)
|
1 ≥110 (0) 100–109 (+1) 90–99 (+2) <90 (+3)
|
| Heart rate ≥100 (+1)
|
1 No Yes
|
| Melena (+1)
|
1 No Yes
|
| Syncope (+2)
|
1 No Yes
|
| Hepatic disease (+2)
|
1 No Yes
|
| Cardiac failure (+2)
|
1 No Yes
|
| GBS Score
|
/ 23
|
Interpretation
| 0
|
Very low risk — Can be considered for outpatient management. Virtually 0% chance of needing intervention.
|
| 1‒11
|
Moderate risk — Consider inpatient management and endoscopy.
|
| ≥12
|
High risk — Urgent intervention likely needed.
|
References
- Blatchford O, et al. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000;356(9238):1318-1321. PMID 11073021.
- Stanley AJ, et al. Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet. 2009;373(9657):42-47. PMID 19091393.
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