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Glasgow-Blatchford Bleeding Score

GastroenterologyGastrointestinal bleedingBeta toolThis tool is in beta. It has undergone internal validation but still requires additional testing. Always confirm the data entered and the results obtained before clinical use. It should not be used as the sole basis for clinical decisions.
Admission blood urea concentration, the source-native laboratory predictor. This calculation accepts blood urea, not BUN, to preserve the published mmol/L table.
Admission haemoglobin concentration. Scoring thresholds depend on the source table's sex category.
The published haemoglobin table uses the categories men and women; it does not define a scoring rule for other categories.
Initial systolic blood pressure at presentation.
Pulse/heart rate at presentation.
Melaena presentWhether the patient presented with melaena. The published table does not further specify how to ascertain this clinical finding.
Syncope presentWhether the patient presented with syncope. The published table does not further specify how to ascertain this clinical finding.
Hepatic disease presentWhether hepatic disease is present/evident. The published table includes this predictor but does not provide a standalone diagnostic definition.
Cardiac failure presentWhether cardiac failure is present. The published table includes this predictor but does not provide a standalone diagnostic definition.

Clinical noticeThis clinical tool supports decision-making and does not replace individual medical assessment.

Context and use

Method

Points are assigned for urea, sex-specific haemoglobin, systolic blood pressure, pulse, melaena, syncope, hepatic disease, and cardiac failure. The result is the integer sum of the eight components, from 0 to 23 points.

Certifications and Compliance

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