The Glasgow Blatchford scoring system enables accurate risk stratification of patients with upper gastrointestinal haemorrhage

Summary Background:  Upper gastrointestinal (UGI) haemorrhage is a frequent cause of hospital admission. Scoring systems have been devised to identify those at risk of adverse outcomes. We evaluated the Glasgow Blatchford score’s (GBS) ability to identify the need for clinical and endoscopic interve...

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Bibliographic Details
Published in:International journal of clinical practice (Esher) 2010-06, Vol.64 (7), p.868-874
Main Authors: Srirajaskanthan, R., Conn, R., Bulwer, C., Irving, P.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Endoscopy, Gastrointestinal
Female
Gastrointestinal diseases
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - surgery
General aspects
Health risk assessment
Hemorrhage
Humans
Male
Medical sciences
Middle Aged
Retrospective Studies
Risk Assessment - methods
Sensitivity and Specificity
Severity of Illness Index
Treatment Outcome
Young Adult
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Summary:Summary Background:  Upper gastrointestinal (UGI) haemorrhage is a frequent cause of hospital admission. Scoring systems have been devised to identify those at risk of adverse outcomes. We evaluated the Glasgow Blatchford score’s (GBS) ability to identify the need for clinical and endoscopic intervention in patients with UGI haemorrhage. Methods:  A retrospective observational study was performed in all patients who attended the A&E department with UGI haemorrhage during a 12‐month period. Patients were separated into low and high risk categories. High risk encompassed patients who required blood transfusions, operative or endoscopic interventions, management on high dependency or intensive care units, and those who re‐bled, represented with further bleeding, or who died. Results:  A total of 174 patients were seen with UGI bleeding. Eight of them self‐discharged and were excluded. Of the remaining 166, 94 had a ‘low risk’ bleed, and 72 ‘high risk’. The GBS was significantly higher in the high risk (median = 10) than in the low risk group (median 1, p 
ISSN:1368-5031
1742-1241
DOI:10.1111/j.1742-1241.2009.02267.x