Minor Gastro-intestinal bleed
Blatchford Score - Admission Risk Markers for GI Haemorrhage.
Blood Urea (mmol/l) |
|
6.5 - 8 |
2 |
8 - 10 |
3 |
10 - 25 |
3 |
>25 |
6 |
Systolic BP |
Score |
>100 |
1 |
90 - 100 |
2 |
<90 |
3 |
Haemoglobin (g/dL) Men |
Score |
12 |
1 |
10 - 12 |
3 |
<10 |
8 |
Haemoglobin (g/dL) Women |
Score |
10 - 12 |
|
<10 |
6 |
Other markers |
Score |
Pulse > 100 |
1 |
Presentation with melena |
1 |
Presentation with syncope |
2 |
Hepatic disease |
2 |
Cardiac failure |
2 |
|
|
Total |
Blatchford 0, et al. A risk score to predict need for treatment for upper gastrointestinal haemorrhage. Lancet 2000:356 1318-21
At CUH # patients presenting hypotensive (Sys BP < 100mmHg) or Hb < 10 g/dl should be admitted under the surgical team on call. (Letter)
