EVALUATING THE GLASGOW BLATCHFORD SCORE IN PROGNOSIS PATIENTS WITH ACUTE NONVARICEAL UPPER GASTROINTESTINAL BLEEDING

Lê Hiếu 1 , Ninh Bảo Ngọc 1 , Nguyễn Thị Thúy Hằng 1 , Trần Thị Luận 1 , Lê Bảo Huy 1 ,
1 Thong Nhat Hospital image/svg+xml
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DOI
10.63947/bvtn.v1i2.9
Published
2025-06-15
Issue Vol. 1 No. 2 (2025): Aging Population and Healthcare Challenges
Section
Original Paper
Categories
Research

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1.
Hiếu L, Bảo Ngọc N, Thị Thúy Hằng N, Thị Luận T, Bảo Huy L. EVALUATING THE GLASGOW BLATCHFORD SCORE IN PROGNOSIS PATIENTS WITH ACUTE NONVARICEAL UPPER GASTROINTESTINAL BLEEDING. JHA [Internet]. Vietnam; 2025 Jun. 15 [cited 2025 Aug. 9];1(2):72–77. https://tcsuckhoelaohoa.vn/bvtn/article/view/40 doi: 10.63947/bvtn.v1i2.9
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Abstract

Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common medical emergency requiring early risk stratification to improve prognosis. This study aimed to evaluate the value of the Glasgow-Blatchford Score (GBS) in prognosticating patients with NVUGIB. This prospective, descriptive study included patients diagnosed with NVUGIB admitted to the Emergency Department of Thong Nhat Hospital from January 2020 to July 2020. Among 122 patients (73.0% male, mean age 63 years), 45.9% required medical intervention (MI), 5.7% experienced re-bleeding, and 2.5% died. The mean GBS was 9. The GBS (AUC=0.828) showed better prognostic value for MI than the clinical Rockall score (AUC=0.650). With a cut-off score of ≥10, the GBS had a sensitivity of 0.68 and a specificity of 0.88 in predicting the need for MI. Most patients with NVUGIB were elderly. The GBS is a valuable tool for prognosticating the need for medical intervention in this patient group.

Keywords

Gastrointestinal Hemorrhage Glasgow-Blatchford Score Prognosis Risk Assessment

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