Glasgow-Blatchford Bleeding Score (GBS) for Upper Gastrointestinal (GI) Bleeding
-Hemoglobin .
. . . . . . . . . . . . . . [>13 g/dL
+0; 12-13 g/dL +1; 10-12 g/dL +3; <10 g/dL +6]
-BUN . . . . . . . . . . . . . . . . . . [<18.2 mg/dL +0; 18.2-22.3 mg/dL +2;
22.4-28 mg/dL +3; 28-70 mg/dL +4; >70 mg/dL +6]
-Initial
systolic BP . . . . . . . . . . [≥110 mmHg +0; 100-109 mmHg +1; 90-99 mmHg
+2; <90 mmHg +3]
-Heart rate
≥100 bpm . . . . . . . . . . [No +0; Yes +1]
-Melena
present . . . . . . . . . . . . . [No
+0; Yes +1]
-Recent
syncope . . . . . . . . . . . . . [No
+0; Yes +2]
-Hepatic
disease history . . . . . . . . [No +0; Yes +2]
-Cardiac
failure present . . . . . . . . [No +0; Yes +2]
[0 points]Patient
is considered to be a "low risk" gastrointestinal bleed with a low
likelihood of requiring intervention (blood transfusion, endoscopy, or
surgery), and low risk for mortality in the next 6 months.
[1
point]Patient is considered to be a "low risk" gastrointestinal bleed
with a low likelihood of requiring intervention (blood transfusion, endoscopy,
or surgery), and low risk for mortality in the next 6 months. Patient discussed with [Internal
Medicine/Gastroenterology] who agreed with
plan for outpatient management.
[≥1
point]Patient is considered to be a "high risk" gastrointestinal
bleed that is likely to require intervention (blood transfusion, endoscopy, or
surgery).
According to
the American College of Gastroenterology’s management guidelines for patients
with overt upper GI bleeding, no risk scores can reliably predict which
individual patients will need an intervention, except for patients with a
Glasgow-Blatchford Score of 0 (< 1% chance of requiring intervention).
https://www.mdcalc.com/glasgow-blatchford-bleeding-score-gbs
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