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Background <p>To validate the Glasgow Blatchford score as a fast and easy technique to predict the need for clinical intervention and rebleeding or mortality within 2 weeks of the upper gastrointestinal bleed in the Egyptian population.</p> Methods <p>A prospective observational study was conducted after the approval of the ethics committee of the Critical Care and Emergency Medicine Department of the Faculty of Medicine, Al-Azhar University, and after obtaining informed written consent from the patients included in the study. Sixty patients were involved in our study.</p> Results <p>The total Glasgow Blatchford score was significantly higher in patients with re-bleeding than in patients without, with a <i>p</i>-value &lt; 0.001. Also, the total Glasgow Blatchford score was considerably higher in the patients who needed blood transfusion than in patients who did not need one, with a <i>p</i>-value &lt; 0.001. The total Glasgow Blatchford score was considerably higher in patients who needed an endoscopy than in patients who did not need one and was higher in dead patients than in surviving patients, but did not reach statistical significance with a <i>p</i>-value = 0.058.</p> Conclusion <p>In the Egyptian population, we found that the Glasgow Blatchford score is an effective predictor of the risk of rebleeding or mortality within 2 weeks of the upper gastrointestinal bleed. It can also be used to differentiate the need for blood transfusion and endoscopic intervention; the Glasgow Blatchford score will be higher in those patients.</p>

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Glasgow Blatchford Score to Predict Mortality and Rebleeding in Patients with Hematemesis in Critical Care Unit

  • 期刊论文

  • 发表日期：

    2025年8月2日

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  • Mohamed Abd Elrahman Abd Elkader Elbakery,
  • Reham Khairy Elmaghraby Mohamed,
  • Soad Sayed Abd Elaal Elgaby,
  • Samah M. Akab

摘要

Background

To validate the Glasgow Blatchford score as a fast and easy technique to predict the need for clinical intervention and rebleeding or mortality within 2 weeks of the upper gastrointestinal bleed in the Egyptian population.

Methods

A prospective observational study was conducted after the approval of the ethics committee of the Critical Care and Emergency Medicine Department of the Faculty of Medicine, Al-Azhar University, and after obtaining informed written consent from the patients included in the study. Sixty patients were involved in our study.

Results

The total Glasgow Blatchford score was significantly higher in patients with re-bleeding than in patients without, with a p-value < 0.001. Also, the total Glasgow Blatchford score was considerably higher in the patients who needed blood transfusion than in patients who did not need one, with a p-value < 0.001. The total Glasgow Blatchford score was considerably higher in patients who needed an endoscopy than in patients who did not need one and was higher in dead patients than in surviving patients, but did not reach statistical significance with a p-value = 0.058.

Conclusion

In the Egyptian population, we found that the Glasgow Blatchford score is an effective predictor of the risk of rebleeding or mortality within 2 weeks of the upper gastrointestinal bleed. It can also be used to differentiate the need for blood transfusion and endoscopic intervention; the Glasgow Blatchford score will be higher in those patients.