Glasgow Blatchford Bleeding Score







 [wikipedia]


Glasgow Blatchford Bleeding Score had a good discriminative ability in predicting the need for treatment. Counting a score of 2 or less as low risk (negative), 104 patients (21.7%) were classified as low-risk, with a negative predictive value of 98.1%. These results were superior to those of the other scoring systems. CONCLUSION: Patients presenting at an emergency department in continental Europe with acute upper gastrointestinal haemorrhage and a Glasgow Blatchford Bleeding Score of 2 or less can be safely discharged.


 


The score is calculated using the table below:



  
    Glasgow-Blatchford Score
  
  
    

      Admission risk marker
      Score component value
    

    

      Blood Urea
    

    

      =6·5 <8·0
      2
    

    

      =8·0 <10·0
      3
    

    

      =10·0 <25·0
      4
    

    

      =25
      6
    

    

      Haemoglobin (g/L) for men
    

    

      =12.0 <13.0
      1
    

    

      =10.0 <12.0
      3
    

    

      <10.0
      6
    

    

      Haemoglobin (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.


 


Hospitalisation en réanimation : à discuter si score de  GBS > 8, ou si au moins 2 défaillances d’organe.


 


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