If GBS score ≤1 at presentation then patient can be discharged with early outpatient endoscopy arranged, unless admission required for other reasons.
If GBS >1 patient should be endscoped on the next available list within 24 hours.
Table 1 - Glasgow Blatchford Score (GBS)
| Parameter | Score |
| Blood urea (mmol/L) | |
| ≥6.5 – <8 | 2 |
| ≥8 – <10 | 3 |
| ≥10 – <25 | 4 |
| ≥25 | 6 |
| Haemoglobin (g/L) in men | |
| ≥120 – <130 | 1 |
| ≥100 – <120 | 3 |
| <100 | 6 |
| Haemoglobin (g/L) in women | |
| ≥100 – <120 | 1 |
| <100 | 6 |
| Blood pressure - systolic (mmHg) | |
| 100 – 109 | 1 |
| 90 – 99 | 2 |
| <90 | 3 |
| Other | |
| Pulse ≥100 per minute | 1 |
| Presentation with melaena | 1 |
| Presentation with syncope | 2 |
| Hepatic disease | 2 |
| Cardiac failure | 2 |
GBS – The Lancet, 356 (Iss 9238), Blatchford O, Murray WR, Blatchford M. Risk score for treatment of upper-gastrointestinal haemorrhage, page 1318-21.
