Publication details

Applicability of the Glasgow-Blatchford score in predicting low-risk patients with upper gastrointestinal bleeding – first data from the Czech Republic

Authors

TESAŘÍKOVÁ Pavla KUNOVSKÝ Lumír TRNOVÁ Alena KOVALČÍKOVÁ Petra STIBŮREK Oldřich TRNA Jan

Year of publication 2020
Type Article in Periodical
Magazine / Source Gastroenterologie a Hepatologie
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.csgh.info/en/article/applicability-of-the-glasgow-blatchford-score-in-predicting-low-risk-patients-with-upper-gastrointestinal-bleeding-first-data-from-the-czech-republic-11156
Doi http://dx.doi.org/10.14735/amgh2020319
Keywords gastrointestinal bleeding; Glasgow-Blatchford score; gastroscopy; risk stratification; cost reduce; outpatient
Description Introduction: Upper gastrointestinal (GI) bleeding is a medical emergency that requires rapid assessment and dynamic management. Gastroscopy represents a crucial part of the diagnostic and therapeutic process. Unfortunately, in many hospitals emergency endoscopy is not easily available outside working hours. The Glasgow Blatchford score (GBS) predicts the outcome of patients at present. The European guidelines recommend outpatient management for a GBS of 0 or 1. The aim of our study was to validate the applicability of GBS in a population of Czech patients and to evaluate whether extending the GBS allows for early discharge while keeping the patient safe. Methods: Retrospectively collected data of patients who underwent gastroscopy in the endoscopy ward of Boskovice Hospital for symptoms of upper GI bleeding between October 2018 and December 2019. Results: Data based on the overall course of the disease suggest that the optimal GBS for determining a low-risk patient is 3, but concerning the endoscopic findings, GBS 2 should be considered safe for outpatient management. A GBS 10 predicts a severe overall course of the disease and a severe endoscopic finding. Conclusion: According to our data, the GBS could be extended to 2 for safe outpatient management, which might reduce the length of stay at the hospital and the pressure for urgent endoscopies. Further studies with more patients are necessary.