Correlation Between the Glasgow Blatchford score and Outcomes of Acute Upper Gastrointestinal Bleeding in Phetchabun Hospital - ความสัมพันธ์ของ Glasgow Blatchford Score กับผลลัพธ์ของผู้ป่วยภาวะเลือดออกทางเดินอาหารส่วนบน ในโรงพยาบาลเพชรบูรณ์

Abstract

The Glasgow Blatchford score can be used to classify patients with upper gastrointestinal bleeding
as low risk or high risk for appropriate management. The objective of this study was to assess the
relation between the Glasgow Blatchford score and outcomes of upper gastrointestinal bleeding in
Phetchabun hospital. Data were collected from medical records of patients with upper gastrointestinal
bleeding in medical ward and surgical ward between January to December 2010. Risk scores were
calculated and used to classify patients. The Glasgow Blatchford score and outcomes of upper gastrointestinal
bleeding such as re-bleeding, upper gastrointestinal endoscopy or surgical intervention and
death showed significant positive linear relationship (p<0.0r). In this study Blatchford score greater
than 6 could be used to identify high risk patients; and the proportion of patients requiring endoscopy or
surgical intervention was significantly higher in the high risk group (p<0.05). Thus, the Glasgow
Blatchford score could be a useful tool to categorize patients as high risk and low risk in order to provide
appropriate medical services to individual patients in Phetchabun hospital.
Key words: Glasgow Blatchford score, upper gastrointestinal bleeding, Phetchabun hospital