Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: |Upper Gastrointestinal Bleed |Glasgow Blatchford Score
🩸 Glasgow–Blatchford Admission Risk Score | |
---|---|
Blood Urea (mmol/L) | Score |
<6.5 | 0 ✅ |
6.5–8.0 | 2 |
8.0–10.0 | 3 |
10.0–25 | 4 |
>25 | 6 ⚠️ |
Haemoglobin (g/dL) – Men | Score |
>12.9 | 0 ✅ |
12.0–12.9 | 1 |
10.0–11.9 | 3 |
<10.0 | 6 ⚠️ |
Haemoglobin (g/dL) – Women | Score |
>11.9 | 0 ✅ |
10.0–11.9 | 1 |
<10.0 | 6 ⚠️ |
Systolic BP (mmHg) | Score |
>109 | 0 ✅ |
100–109 | 1 |
90–99 | 2 |
<90 | 3 ⚠️ |
Other markers | Score |
Pulse ≥100 /min | 1 |
Presentation with melaena | 1 |
Presentation with syncope | 2 |
History of hepatic disease* | 2 |
History of cardiac failure* | 2 |
🔢 Interpretation: Scores of 0–2 = low risk (often safe for outpatient management if stable). Higher scores = ⚠️ higher risk → admit, resuscitate, and arrange urgent endoscopy.
* Hepatic disease = chronic/acute liver disease (clinical or lab evidence). * Cardiac failure = history or echo-confirmed diagnosis.