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Glasgow–Blatchford score

Pre-endoscopic score estimating transfusion, therapeutic endoscopy or surgery need in upper GI bleeding from urea, hemoglobin, vital signs and comorbidities.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Method · Limits of application

GBS/Blatchford 2000: 8 variables, total 0–23, urea not BUN

The 2000 Glasgow-Blatchford was developed at the initial presentation of upper gastrointestinal bleeding to stratify treatment need. The score alone does not authorize discharge or outpatient management. Urea and hemoglobin units, comorbidity definitions and cutoffs in later protocols must match the version used. Table 2(d) of the primary Dakik 2017 study reproduces urea ≥ 10 to ≤ 25 mmol/L as 4 points and > 25 mmol/L as 6 points; the local label uses ≥ 25 mmol/L for 6 points. The original Blatchford 2000 table was not obtained in this review. The sum of selected categories was checked, but the exact 25 mmol/L boundary and rounded mg/dL ranges remain unadjudicated.

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Serum urea
  • Hemoglobin
  • Systolic blood pressure
  • Heart rate ≥ 100 bpm
  • Melena
  • Syncope
  • Liver disease (current or previous)
  • Heart failure

3/3 reference cases checked. Numerical tests are not clinical validation.

Relationship with cancer research

General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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