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Glasgow-Blatchford score

Medical screening tool to assess internal bleeding

Field	Value
name	Glasgow-Blatchford score
purpose	need for blood transfusion due to GI bleeding
DiseasesDB
ICD10
MedlinePlus
eMedicine
OPS301
LOINC

The Glasgow-Blatchford bleeding score (GBS) is a screening tool to assess the likelihood that a person with an acute upper gastrointestinal bleeding (UGIB) will need to have medical intervention such as a blood transfusion or endoscopic intervention. The tool may be able to identify people who do not need to be admitted to hospital after a UGIB. Advantages of the GBS over the Rockall score, which assesses the risk of death in UGIB, include a lack of subjective variables such as the severity of systemic diseases and the lack of a need for oesophagogastroduodenoscopy (OGD) to complete the score, a feature unique to the GBS.

It was developed in 2000 by Oliver Blatchford (born 24 August 1954) at the Glasgow Royal Infirmary.

In a controlled study, 16% of people presenting with UGIB had a GBS score of "0", considered low. Among this group there were no deaths or interventions needed and people were able to be effectively treated in an outpatient setting.

Criteria

The score is calculated using the table below:

Admission
risk marker	Score component
value	Blood urea (mmol/L)	Haemoglobin (g/dL) for men	Haemoglobin (g/dL) for women	Systolic blood pressure (mm Hg)	Other markers
6.5–8.0	2
8.0–10.0	3
10.0–25	4
25	6
12.0–12.9	1
10.0–11.9	3
	6
10.0–11.9	1
	6
100–109	1
90–99	2
	3
Pulse ≥ 100/min	1
Melaena	1
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.

Score

Score is equal to "0" if the following are all present:

Hemoglobin level 12.9 g/dL (men) or 11.9 g/dL (women)
Systolic blood pressure 109 mm Hg
Pulse
Blood urea nitrogen level
No melena or syncope
No past or present liver disease or heart failure

References

(2000). "A risk score to predict need for treatment for uppergastrointestinal haemorrhage". Lancet.
(2009). "Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation". Lancet.
"Archived copy".

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

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