The Glasgow-Blatchford scores (GBS) and Rockall scores (RS) are commonly used for risk classification of patients with nonvariceal UGI haemorrhage (NVUGIH) which include:-
- Bleeding proximal to the ligament of Treitz.
- Bleeding of the pancreatic or bile ducts
- and bleeding from the proximal anastomosis after gastrojejunostomy
Pang SH et al, 2010 in his study comparing both scores found that the GBS scoring system is better used on outpatient setting or on admission to the hospital to determine if patients can receive outpatient treatment or treatment with early discharge within 24 hours.
Furthermore he concluded that the clinical significance with patients of Blatchford score 0 points can be categorized as low risk, which results in saving hospital resources
Another study by Ahn S et al, 2013 has indicated that GBS has relatively good performance in prediction of the need for clinical interventions (endoscopic intervention, angiographic embolization, and surgery) in patients with cancer.
While Dicu D et al 2013 concluded that Rockall score pre-endoscopic has a positive predictive value for mortality and the prediction ability for re-bleeding was significantly higher in pre-endoscopic RS Nevertheless, its predictive value for the need for surgery was poor
References:-
Pang SH, Ching JY, Lau JY, et al. 2010. Comparing the Blatchford and pre-endoscopic Rockall score in predicting the need for endoscopic therapy in patients with upper GI hemorrhage. Gastrointest Endosc. 71:1134 – 40.
Ahn S, Lim KS, Lee YS, et al. 2013. Blatchford score is a useful tool for predicting the need for intervention in cancer patients with upper gastrointestinal bleeding. J Gastroenterol Hepatol. 28:1288 – 94.
Dicu D, Pop F, Ionescu D, et al. 2013. Comparison of risk scoring systems in predicting clinical outcome at upper gastrointestinal bleeding patients in an emergency unit.
Am J Emerg Med. 31:94 – 9
