Glasgow-Blatchford Bleeding Score

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
Glasgow-Blatchford Score
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.

See Also
  • Upper GI Bleed

References
  1. "A risk score to predict need for treatment for uppergastrointestinal haemorrhage"
  2. 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.
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