Predicts need for intervention (transfusion, endoscopy, surgery) in upper GI bleeding.
The Glasgow-Blatchford Score (Upper GI Bleed) is a GI & Liver scoring tool used in paediatric practice. Predicts need for intervention (transfusion, endoscopy, surgery) in upper GI bleeding. It scores 8 criteria and interprets the total across 3 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
8. They are Blood urea; Haemoglobin; Systolic blood pressure; Pulse ≥ 100/min (or tachycardia for age); Melaena; Syncope; and others.
The total is interpreted as: any score - Very low risk: score 0 - very low risk. Outpatient management with early endoscopy may be appropriate in adults; in children, admit if there is any diagnostic doubt; 1 point or more - Intermediate risk: score 1-5 - intermediate risk. Admit for observation and plan endoscopy; 6 points or more - High risk: score ≥6 - high risk of needing intervention. Resuscitate, cross-match, start acid suppression and arrange urgent endoscopy.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Originally derived and validated in adults; paediatric thresholds for haemoglobin and blood pressure must be age-adjusted.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.