Glasgow-Blatchford Bleeding Score

Aka: Glasgow-Blatchford Bleeding Score, Upper GI Bleeding Score

II. Indication

1. 
   Upper Gastrointestinal Bleeding risk stratification

III. Criteria

1. 
   Blood Urea Nitrogen (BUN)
   1. BUN 18.2 to 22.4 mg/dl (6.5 to 8 mmol/L): Score 2
   2. BUN 22.4 to 28 mg/dl (8 to 10 mmol/L): Score 3
   3. BUN 28 to 70 mg/dl (10 to 25 mmol/L): Score 4
   4. BUN >70 mg/dl (>25 mmol/L): Score 6
2. 
   Hemoglobin
   
   1. Men
      1. Hemoglobin 12 to 13 g/dl: Score 1
      2. Hemoglobin 10 to 12 g/dl: Score 3
      3. Hemoglobin <10 g/dl: Score 6
   2. Women
      1. Hemoglobin 10 to 12 g/dl: Score 1
      2. Hemoglobin <10 g/dl: Score 6
3. Systolic Blood Pressure (SBP)
   1. SBP 100 to 109 mmHg: Score 1
   2. SBP 90 to 99 mmHg: Score 2
   3. SBP <90 mmHg: Score 3
4. Miscellaneous Markers
   1. Pulse >100 per minute: 1
   2. Presentation with Melena: 1
   3. Presentation with Syncope: 2
   4. Hepatic disease: 2
   5. Cardiac function: 2
   
   
   

   IV. Interpretation
   

   1. Assesses probability for intervention (Blood Transfusion, endoscopy, surgery)
   2. Score 0
      1. Low risk for intervention
      2. Reasonable to manage as outpatient
   3. Score >0
      1. Increased risk for intervention and inpatient management is recommended
      2. However most cases <5 respond without signficant intervention
   4. Score >5
      1. High risk for intervention