GI-BLEED Score for Upper GI Bleeding
Predicts in-hospital mortality in patients with acute upper GI bleeding. Components: general health status, INR, albumin, mental status, BP, endoscopy diagnosis.
Score interpretation
Low in-hospital mortality (<5%).
→ Early endoscopy within 24 hours. May be suitable for outpatient/early discharge management.
Moderate in-hospital mortality (~15%).
→ Inpatient management. Urgent endoscopy. Resuscitation and close monitoring.
High in-hospital mortality (>30%).
→ ICU/HDU admission. Urgent endoscopy. Haematology, hepatology, and surgery involvement. Aggressive resuscitation.
Interpretation bands for the GI-BLEED. Apply clinical judgement and local guidance.
References
- Tham TC et al. GI-BLEED: a simple scoring system for acute upper gastrointestinal bleeds. Postgrad Med J. 2006;82(973):712-716.
Related
Curated clinical cross-links plus same-class fallbacks.
- ADHERE Algorithm for Acute Decompensated Heart Failure · Risk Stratification
- TIMI Risk Index for STEMI · Risk Stratification
- LACE Index for Readmission Risk · Risk Stratification
- Charlson Comorbidity Index (CCI) — Detailed · Risk Stratification
- HCT-CI — Haematopoietic Cell Transplant Comorbidity Index · Risk Stratification
- San Francisco Syncope Rule (SFSR) · Risk Stratification
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Tranexamic Acid (Heavy Menstrual Bleeding) · Antifibrinolytic (Gynaecological Use)
- Palivizumab · RSV Prophylaxis — Monthly Monoclonal Antibody (High-Risk Infants)
- Ziprasidone · Atypical Antipsychotic — D2/5-HT2A Antagonist (Low Metabolic Risk)
- Atorvastatin (CKD Cardiovascular Risk) · Cardiovascular Risk in CKD
- Icosapent Ethyl (Omega-3 — Cardiovascular Risk Reduction) · Omega-3 Fatty Acid (Purified EPA — Eicosapentaenoic Acid Ethyl Ester)
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.