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Glasgow-Blatchford Score (GBS)
Glasgow-Blatchford Score: Validated tool for pre-endoscopic triage of suspected UGI bleeding. Score of 0 identifies patients at very low risk for intervention.
Guidelines & Evidence
Verified
Last Review: 2026
When to Use
When to Use
Pre-endoscopic risk stratification of patients with suspected acute upper gastrointestinal bleeding (UGIB)
To identify "low-risk" patients safe for early discharge from the Emergency Department (ED)
Predicting the need for clinical intervention (blood transfusion, endoscopy, or surgery)
Timing
The GBS should be calculated at the point of first contact in the ED. It relies purely on clinical data (SBP, HR, history, melena/syncope) and routine labs (Haemoglobin, BUN).
Exclusion Criteria
Variceal Bleeding Suspected — while GBS is used for all UGIB, patients with known cirrhosis/varices require higher level care regardless of score
Lower GI bleeding (haematochezia without syncope/shock) — GBS is not validated for colonic sources