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Glasgow Blatchford Score

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Urology

Version Jan 2023

Related Subjects: | Upper Gastrointestinal Bleed | Glasgow Blatchford Score

Admission risk marker
Blood Urea (mmol/L)	Score component value
<6.5	0
6.5-8.0	2
8.0-10.0	3
10.0-25	4
>25	6
Haemoglobin (g/dL) for men	Score component value
>12.9	0
12.0-12.9	1
10.0-11.9	3
<10.0	6
Haemoglobin (g/dL) for women	Score component value
>11.9	0
10.0-11.9	1
<10.0	6
Systolic blood pressure (mm Hg)	Score component value
>109	0
100-109	1
90-99	2
<90	3
Other markers	Score component value
Pulse >/=100 (per min)	1 (<100 = 0)
Presentation with melaena	1 (no = 0)
Presentation with syncope	2 (no = 0)
Hepatic disease	2 (no = 0)
Cardiac failure	2 (no = 0)

Scores of 0 to 2 are considered low risk.

* Known history, or clinical and laboratory evidence, of chronic or acute liver disease. **Known history, or clinical and echocardiographic evidence, of cardiac failure

Low-risk criteria for Glasgow/Blatchford score

urea < 6.5 mmol/L
haemoglobin >=130 g/L (men) or >=120 g/L (women)
systolic blood pressure >=110 mm Hg
pulse <100 beats per min
absence of melaena, syncope, cardiac failure, or liver disease

PLEASE NOTE LEGAL ADVICE: The contents are under continuing development and improvements and may contain errors of omission or fact. The official launch will be at the end of 2018. Feedback vital and always welcome at drokane at gmail.com. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice. It is only for educational purposes. Please adhere to your local protocols. If you are unwell please seek healthcare advice from your doctor. This does not replace senior or specialist advice. If you do not accept this then please do not use the website. If you need medical advice, please consult a doctor or other appropriate medical professional. If you are a medical professional and you need advice then speak to your senior or colleagues.

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