{"id":2423,"date":"2011-07-08T15:21:33","date_gmt":"2011-07-08T15:21:33","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gasblat\/"},"modified":"2025-05-13T20:28:54","modified_gmt":"2025-05-13T20:28:54","slug":"gasblat","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gasblat\/","title":{"rendered":"Score de Sangrado de Glasgow-Blatchford (GBS) para Hemorragia Gastrointestinal Alta Aguda"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El score Glasgow Blatchford (GBS) es una herramienta para la evaluaci\u00f3n de riesgo pre-endosc\u00f3pica para pacientes con hemorragia digestiva alta (HDA). Se puede predecir la necesidad de intervenci\u00f3n o muerte e identificar a los pacientes de bajo riesgo para el manejo ambulatorio.<br \/>\n<!--more--><br \/>\n<strong>Score de\u00a0<span class=\"hps\">Blatchford<\/span>\u00a0<span class=\"hps\">para evaluar la gravedad<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">la HDA<\/span><\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 80.7272%;\" colspan=\"2\"><strong>\u00a0<span class=\"hps\">Marcador<\/span><span class=\"hps\">\u00a0de riesgo en la a<\/span><span class=\"hps\">dmisi\u00f3n<\/span><\/strong><\/td>\n<td style=\"width: 19.1516%;\" align=\"center\"><strong>\u00a0Score<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 43.2727%;\">\u00a0<span class=\"hps\">Urea<\/span>\u00a0<span class=\"hps\">s\u00e9rica mmol<\/span><span class=\"hps\">\/<\/span><span class=\"hps\">L<\/span><\/td>\n<td style=\"width: 37.4545%;\">&gt;\/=6.5 -7.9<br \/>\n8-9.9<br \/>\n10-24.9<br \/>\n&gt;\/=25<\/td>\n<td style=\"width: 19.1516%;\" align=\"center\">2<br \/>\n3<br \/>\n4<br \/>\n6<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 43.2727%;\">\u00a0<span class=\"hps\">Hemoglobina<\/span>\u00a0<span class=\"hps\">g<\/span><span class=\"hps\">\/dl<\/span>\u00a0<span class=\"hps atn\">(<\/span>hombres)<\/td>\n<td style=\"width: 37.4545%;\">&gt;\/=12 -13<br \/>\n10-11.9<br \/>\n&lt;10<\/td>\n<td style=\"width: 19.1516%;\" align=\"center\">1<br \/>\n3<br \/>\n6<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 43.2727%;\">\u00a0<span class=\"hps\">Hemoglobina<\/span>\u00a0<span class=\"hps\">g<\/span><span class=\"hps\">\/dl<\/span>\u00a0<span class=\"hps atn\">(<\/span>mujeres)<\/td>\n<td style=\"width: 37.4545%;\">&gt;\/=10-12<br \/>\n&lt;10<\/td>\n<td style=\"width: 19.1516%;\" align=\"center\">1<br \/>\n6<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 43.2727%;\">\u00a0<span class=\"hps\">Presi\u00f3n arterial sist\u00f3lica<\/span>\u00a0<span class=\"hps\">m<\/span><span class=\"hps\">mHg<\/span><\/td>\n<td style=\"width: 37.4545%;\">100-109<br \/>\n90-99<br \/>\n&lt;90<\/td>\n<td style=\"width: 19.1516%;\" align=\"center\">1<br \/>\n2<br \/>\n3<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 43.2727%;\">\u00a0<span class=\"hps\">Otros marcadores<\/span><\/td>\n<td style=\"width: 37.4545%;\">P<span class=\"hps\">ulso\u00a0<\/span>&gt;<span class=\"hps\">\/<\/span><span class=\"hps\">= 100<\/span><br \/>\n<span class=\"hps\">Presentaci\u00f3n<\/span>\u00a0<span class=\"hps\">con<\/span>\u00a0<span class=\"hps\">melena<\/span><br \/>\n<span class=\"hps\">Presentaci\u00f3n<\/span>\u00a0<span class=\"hps\">con s\u00edncope<\/span><br \/>\n<span class=\"hps\">Enfermedad hep\u00e1tica<\/span><br \/>\n<span class=\"hps\">Insuficiencia cardiaca<\/span><\/td>\n<td style=\"width: 19.1516%;\" align=\"center\">1<br \/>\n1<br \/>\n2<br \/>\n2<br \/>\n2<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"hps\">Una puntuaci\u00f3n de<\/span>\u00a0<span class=\"hps\">0 identifica<\/span>\u00a0<span class=\"hps\">pacientes de bajo riesgo<\/span>.<\/p>\n<p><strong><span class=\"hps\">Criterios de bajo riesgo<\/span>\u00a0<span class=\"hps\">de<\/span>\u00a0<span class=\"hps\">GBS<\/span><\/strong><\/p>\n<ul>\n<li>\u00a0\u00a0\u00a0\u00a0\u00a0<span class=\"hps\">Urea<\/span>\u00a0<span class=\"hps\">&lt; 6,5<\/span>\u00a0<span class=\"hps\">mmol\/<\/span><span class=\"hps\">L<\/span><\/li>\n<li>\u00a0\u00a0\u00a0\u00a0\u00a0<span class=\"hps\">Hemoglobina<\/span>\u00a0&gt;<span class=\"hps\">\/<\/span><span class=\"hps\">=<\/span>\u00a0<span class=\"hps\">13 g\/dl<\/span>\u00a0<span class=\"hps\">(hombres) o\u00a0<\/span>&gt;<span class=\"hps\">\/<\/span><span class=\"hps\">=<\/span>\u00a0<span class=\"hps\">12 g\/dl<\/span>\u00a0<span class=\"hps atn\">(<\/span>mujeres)<\/li>\n<li>\u00a0\u00a0\u00a0\u00a0\u00a0<span class=\"hps\">Presi\u00f3n arterial sist\u00f3lica<\/span>\u00a0&gt;<span class=\"hps\">\/<\/span><span class=\"hps\">= 110 mm<\/span>\u00a0<span class=\"hps\">Hg<\/span><\/li>\n<li>\u00a0\u00a0\u00a0\u00a0\u00a0<span class=\"hps\">Pulso<\/span>\u00a0<span class=\"hps\">&lt;100<\/span>\u00a0<span class=\"hps\">latidos por minuto<\/span><\/li>\n<li>\u00a0\u00a0\u00a0\u00a0\u00a0<span class=\"hps\">Ausencia de<\/span>\u00a0<span class=\"hps\">melena,<\/span>\u00a0<span class=\"hps\">s\u00edncope,<\/span><span class=\"hps\">\u00a0fallo<\/span>\u00a0<span class=\"hps\">card\u00edaco<\/span>\u00a0<span class=\"hps\">o enfermedad hep\u00e1tica<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Stephens JR, Hare NC, Warshow U, Hamad N, Fellows HJ, Pritchard C, Thatcher P, Jackson L, Michell N, Murray IA, Hyder Hussaini S, Dalton HR. Management of minor upper gastrointestinal haemorrhage in the community using the Glasgow Blatchford Score. Eur J Gastroenterol Hepatol. 2009 Dec;21(12):1340-6. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19738479\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kowdley KV, Irani S. ACP Journal Club. The Glasgow-Blatchford Bleeding Score identified patients with upper GI bleeding who could be managed as outpatients. Ann Intern Med. 2009 May 19;150(10):JC5-14. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19451570\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000 Oct 14;356(9238):1318-21. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11073021\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Jul 14, 2011<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El score Glasgow Blatchford (GBS) es una herramienta para la evaluaci\u00f3n de riesgo pre-endosc\u00f3pica para pacientes con hemorragia digestiva alta (HDA). Se puede predecir la necesidad de intervenci\u00f3n o muerte e identificar a los pacientes de bajo riesgo para el manejo ambulatorio.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[231,230,1197,1199,2094,1196,1189,1200,1195,445,2222,450,1198],"class_list":["post-2423","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-acute","tag-aguda","tag-alta","tag-blatchford","tag-bleeding","tag-gastrointestinal","tag-gbs","tag-glasgow","tag-hemorragia","tag-puntuacion","tag-sangrado","tag-score","tag-upper"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2423","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2423"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2423\/revisions"}],"predecessor-version":[{"id":9395,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2423\/revisions\/9395"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}