ACP Journal Club. The Glasgow-Blatchford Bleeding Score identified patients with upper GI bleeding who could be managed as outpatients.

Description of prediction guide: The GBS had 4 variables: blood urea levels (6.5 to 7.9 mmol/L = 2, 8.0 to 9.9 mmol/L = 3, 10 to 25 mmol/L = 4, > 25 mmol/L = 6), hemoglobin levels (120 to 129 g/L = 1, 100 to 119 g/L = 3, < 100 g/L = 6 [men]; 100 to 119 g/L = 1, < 100 g/L = 6 [women]), systolic blood pressure (SBP) (100 to 109 mm Hg = 1, 90 to 99 mm Hg = 2, < 90 mm Hg = 3), and other markers (pulse ≥ 100/min = 1, melena = 1, syncope = 2, hepatic disease = 2, cardiac failure = 2). GBS low-risk group score = 0. {Admission (before endoscopy) Rockall score had 3 variables (age, shock, and comorbid conditions) and the full (after endoscopy) score included 2 additional variables (diagnosis and major stigmata of recent bleeding). Rockall low-risk groups had admission scores = 0 or full scores < 3.}*