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Glasgow-Blatchford Score for Upper GI Bleed

Risk-stratifies upper GI bleeding entirely pre-endoscopy — its real value is identifying who does NOT need admission.

Low risk — consider outpatient management
GBS 0 · virtually 0% need for intervention
Safe for discharge with outpatient endoscopy
0pts
Patient sex
BUN (mg/dL)
Haemoglobin (g/dL) — male scale
Systolic blood pressure (mmHg)
Pulse ≥100 bpm
Presentation with melena
Presentation with syncope
Hepatic disease (known history, or clinical/lab evidence)
Heart failure (known history, or clinical/lab evidence)
Blatchford O, et al. 2000 · Works entirely pre-endoscopy. GBS 0 (and, on more recent evidence, ≤1) identifies patients safe for discharge with outpatient endoscopy — the score's real value is the rule-OUT.