Glasgow-Blatchford Score
The Glasgow-Blatchford score is the risk assessment tool of choice in the emergency department [BLATCHFORD] (table 1). It is calculated using 4 components – medical history (hepatic disease, heart failure), symptoms (melaena, syncope), signs (tachycardia, blood pressure), and blood tests (haemoglobin, urea).
An online score calculator is ideal to use as individual components can have values between 0 and 6. The maximum score is 29. NICE recommends that patients with a Blatchford score of 0 can be considered for early discharge with outpatient endoscopy follow up [NICE].
Blatchford score
|
Risk marker |
Score |
| Urea
6.5 – 7.5 |
2 |
| Haemoglobin (g/dL) for men
12 – 12.9 |
1 |
| Haemoglobin (g/dL ) for women
10.0 – 11.9 |
1 |
| Systolic blood pressure (mmHg)
100-109 |
1 |
| Other markers
Pulse >100 |
1 |