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Hepatology and GI

Glasgow-Blatchford Score

9 inputsHepatology and GI

Upper GI bleeding — need for intervention.

Glasgow-Blatchford Score calculator

Result

0points

Score 0 — very low risk, outpatient OGD

2 to 50 mmol/L

4 to 20 g/dL

Sex (for Hgb thresholds)

50 to 250 mmHg

How to use it

  1. 1

    GBS = 0. ~0.5% mortality — NICE recommends outpatient OGD within 24h.

  2. 2

    BUN bands. ≥6.5, ≥8, ≥10, ≥25 mmol/L — each step adds more points.

  3. 3

    Haemoglobin sex-specific thresholds. Males: <13 g/dL +1, <12 +3, <10 +6. Females: <12, <10, <10.

When to use it

Pre-endoscopy triage
GBS 0 identifies patients safe for outpatient management.
ED discharge decision
GBS 0 + Rockall 0–2: NICE recommends early discharge path.
Before endoscopy results
GBS can be calculated immediately from admission bloods.

A reference for clinicians and students, not medical advice. A score supports a decision; it does not make one. Check every result against the patient in front of you and your local protocol.

At a glance

Specialty
Hepatology and GI
Inputs
9
Type
Formula

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