Imran Yahaya, Waheedullah, Jawad, Muhammad Daud, Muhammad Iltaf.
Frequency of High Glasgow Blatchford Score & its One Month Mortality in Patients presenting with Non-variceal Upper Gastrointestinal Bleeding.
Ophthalmol Update Jan ;13(2):115-9.

Objective: To determine the frequency of high Glasgow Blatchford scoring system and its one month mortality in patients presenting with non variceal upper gastrointestinal bleeding. Patients with liver cirrhosis may develop upper gastrointestinal hemorrhage from a variety of lesions, which include those that arise by virtue of portal hypertension, namely gastro-esophageal varices and portal hypertensive gastropathy and other lesions seen in the general population. Study design: Descriptive case series. Duration: The duration of study was six months after approval of synopsis. Settings: Department of Gastroenterology and Hepatology Hayatabad Medical Complex Peshawar. Material & Methods: This study was conducted at Gastroenterology and Hepatology Department, Hayatabad Medical Complex, Peshawar. Duration of the study was six months in which a total of 140 at margin of error 5%, confidence interval 95% and 10%2 proportion of mortality among patients with high GB score at admission (non-variceal bleeding) using WHO sample size calculations. Results: In this study 3% patients were in age range 20-30 years, 18% patients were in age range 31-40 years, 34% patients were in age range 41-50 years, 35% patients were in age range 51-60 years,10% patients were above 60 years. Mean age was 30 years with SD ± 2.21. Fifty five percent patients were male and 45% patients were female. Twenty five percent patients had Glasgow Blatchford score < 12 and 75% patients had Glasgow Blatchford score more than 12. Mean Glasgow Blatchford score was 11 with SD ± 2.88. Among 140 patients mortality rate was 16%. Conclusion: In conclusion, GBS is a scoring system that allows calculation of the scores using only clinical and laboratory variables, without a need for endoscopy, and thereby, it can be easily used in the risk analysis of patients under emergency conditions. To support the results obtained from this study, future studies that contain more patients, are multi-centered, and that follow the patients after discharge from the ED are warranted.

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