Glasgow-Blatchford score

The Glasgow-Blatchford score predicts the need for transfusion, endoscopic treatment or surgery, and death, in upper gastrointestinal bleeding. It uses only bedside findings and blood tests.

Sex
Observations and blood results
Other features

Enter the values above.

Points

Points
Urea 6.5 to 7.9 / 8.0 to 9.9 / 10.0 to 24.9 / 25 or more mmol/L2 / 3 / 4 / 6
Haemoglobin, men: 120 to 129 / 100 to 119 / below 100 g/L1 / 3 / 6
Haemoglobin, women: 100 to 119 / below 100 g/L1 / 6
Systolic pressure 100 to 109 / 90 to 99 / below 90 mmHg1 / 2 / 3
Heart rate 100 or more; melaena1 each
Syncope; liver disease; cardiac failure2 each

References

Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000;356(9238):1318-1321.

Gralnek IM, Stanley AJ, Morris AJ, et al. Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): ESGE Guideline – Update 2021. Endoscopy. 2021;53(3):300-332.