The Baylor Bleeding Score is a clinical prediction tool used to assess the risk of rebleeding and mortality in patients with nonvariceal upper gastrointestinal bleeding (UGIB). It helps clinicians stratify patients and guide management decisions.
Baylor Bleeding Score Calculator
Gastrointestinal Bleeding Risk Assessment Tool
About Baylor Bleeding Score
The Baylor Bleeding Score is a clinical prediction tool used to assess the risk of rebleeding and mortality in patients with nonvariceal upper gastrointestinal bleeding (UGIB). It helps clinicians stratify patients and guide management decisions.
Clinical Importance
Upper GI bleeding is a common medical emergency with significant morbidity and mortality. The Baylor score helps identify high-risk patients who may benefit from more aggressive management, including early endoscopy, ICU admission, or surgical intervention.
Baylor Bleeding Score Components
The score evaluates several clinical and endoscopic parameters:
| Parameter | Points |
|---|---|
| Age ≥ 60 years | 2 |
| Shock (SBP < 100 mmHg) | 3 |
| Comorbid illness | 3 |
| Endoscopic diagnosis | 2 |
| Endoscopic stigmata of recent hemorrhage | 2 |
| Rebleeding during hospitalization | 4 |
Interpretation
The Baylor Bleeding Score ranges from 0 to 16, with higher scores indicating greater risk:
Note: This calculator is for educational purposes only. Clinical decisions should not be based solely on this tool. Always consult with healthcare professionals for patient management.
Baylor Bleeding Score Calculator
Baylor Bleeding Score Result
Component Scores
Understanding the Criteria
Age ≥ 60 years: Advanced age is associated with increased mortality in UGIB.
Shock (SBP < 100 mmHg): Hypotension indicates significant blood loss and hemodynamic instability.
Comorbid illness: Conditions like cardiac, pulmonary, hepatic, or renal disease increase mortality risk.
Endoscopic diagnosis: Malignancies or other high-risk lesions have poorer outcomes.
Endoscopic stigmata: Active bleeding or visible vessels indicate higher rebleeding risk.
Rebleeding during hospitalization: Recurrent bleeding is a strong predictor of mortality.
