Gastroenterology
Glasgow-Blatchford Bleeding Score (GBS)
Screens for upper GI bleed patients needing medical intervention.
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Parameters
Glasgow-Blatchford Bleeding Score (GBS) Result
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Formula
Sum of points assigned to BUN, Hemoglobin, SBP, HR, and clinical factors (Melena, Syncope, Hepatic Disease, Heart Failure).Clinical Pearls
Highly sensitive for identifying patients who do NOT need intervention, allowing for safe discharge from the Emergency Department.
Limitations
Not designed to predict mortality as accurately as the Rockall score (which requires endoscopy results first). GBS is a pre-endoscopy screening tool.