Glasgow-Blatchford score
Gastroenterology and hepatology
Also known as: Glasgow-Blatchford-Score · Glasgow-Blatchford skoru · Glasgow-Blatchford score (upper gastrointestinal bleeding)
What it is for
Pre-endoscopy score for acute upper gastrointestinal bleeding, built from blood urea, haemoglobin, blood pressure and clinical findings; developed to identify patients who will need intervention. Total 0–23.
Classification
| Category | Description |
|---|---|
| Blood urea (mmol/L) | 6.5 to below 8: 2; 8 to below 10: 3; 10 to below 25: 4; 25 or more: 6 (as blood urea nitrogen in mg/dL: 18.2 to below 22.4: 2; 22.4 to below 28: 3; 28 to below 70: 4; 70 or more: 6) |
| Haemoglobin, men (g/dL) | 12 to below 13: 1; 10 to below 12: 3; below 10: 6 |
| Haemoglobin, women (g/dL) | 10 to below 12: 1; below 10: 6 |
| Systolic blood pressure (mm Hg) | 100–109: 1; 90–99: 2; below 90: 3 |
| Other markers | pulse 100/min or more (some reproductions: above 100): 1; melaena: 1; syncope: 2; hepatic disease: 2; cardiac failure: 2 |
| Interpretation | 0 is the lowest score; higher scores mean a greater likelihood of needing intervention |
Source
A risk score to predict need for treatment for upper-gastrointestinal haemorrhage
Lancet 2000;356:1318–1321 (Blatchford O, Murray WR, Blatchford M)
DOI: 10.1016/S0140-6736(00)02816-6
PMID: 11073021
- Edition
- Glasgow-Blatchford score (Blatchford 2000), in current use
- Checked on
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