Glasgow-Blatchford Score 🩸
Glasgow-Blatchford Score (GBS) for acute upper GI bleeding. Risk stratify need for admission, transfusion, or intervention at presentation.
Glasgow-Blatchford Score
Pre-endoscopy risk stratification for upper GI bleeding
Sex (for Hb bands)
Blood urea
Haemoglobin
Systolic BP
Other features
Why use it
- BSG recommends calculating GBS at presentation for all acute upper GI bleeds.
- GBS predicts need for transfusion, endoscopic therapy, or surgery. Low scores may support outpatient management after senior review.
Interpretation
≤1
- Implication
- Consider outpatient management after senior review if clinically appropriate.
>1
- Implication
- Usually admit; standard in-hospital AUGIB care including endoscopy within 24 hours (sooner if unstable).
| Score | Implication |
|---|---|
| ≤1 | Consider outpatient management after senior review if clinically appropriate. |
| >1 | Usually admit; standard in-hospital AUGIB care including endoscopy within 24 hours (sooner if unstable). |
Related NICE guidance
NICENICE CG141 — Acute upper gastrointestinal bleeding in over 16s: management
Full guidance on nice.org.uk. BetterCall is not endorsed by NICE.
Educational reference only. Medical disclaimer