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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2025; 17(9): 104997
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.104997
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.104997
Evaluating Glasgow-Blatchford score for fast-track emergency management of patients with acute upper gastrointestinal bleeding
Dong-Qing Zhang, Department of Basic Courses, Chongqing Medical and Pharmaceutical College, Chongqing 401331, China
Qin Zhou, Yun-Feng Li, Xin-Yu Jia, Xue Li, Shu Chen, Ke Lin, Department of Emergency, University-Town Hospital of Chongqing Medical University, Chongqing 401331, China
Co-first authors: Dong-Qing Zhang and Qin Zhou.
Author contributions: Zhang DQ, Zhou Q and Lin K contributed to conception and design; drafting of the paper; Li YF and Jia XY contributed to analysis and interpretation of the data; Li X, Chen S contributed to correct data and revising it critically for intellectual content; and all authors read the complete manuscript and have approved submission of the paper; All authors agree to be accountable for all aspects of the work.
Supported by the Key Discipline of Pathology at Chongqing Medical and Pharmaceutical College, No. ygz2021303.
Institutional review board statement: This study was approved by the Ethics Committee of the University-Town Hospital of Chongqing Medical University (Approval No. LL-202275).
Clinical trial registration statement: This study is registered at Chinese Clinical Trial Registry. The registration identification number is ChiCTR2400080002 (Date of Registration: 2024-01-18).
Informed consent statement: Informe consent was waived by the Ethics Committee of University-Town Hospital of Chongqing Medical University due to the retrospective design of the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request at 800309@hospital.cqmu.ed.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ke Lin, MD, PhD, Department of Emergency, University-Town Hospital of Chongqing Medical University, No. 55 Daxuecheng Middle Road, Shapingba District, Chongqing 401331, China. 800309@hospital.cqmu.ed
Received: January 9, 2025
Revised: April 9, 2025
Accepted: July 28, 2025
Published online: September 27, 2025
Processing time: 259 Days and 5.9 Hours
Revised: April 9, 2025
Accepted: July 28, 2025
Published online: September 27, 2025
Processing time: 259 Days and 5.9 Hours
Core Tip
Core Tip: This study analyzed data from 124 patients with acute upper gastrointestinal bleeding with Glasgow-Blatchford score (GBS) ≥ 6. Based on GBS, patients were divided into moderate- and high-risk groups. Further categorization was done into control and fast track groups based on whether a fast track was established. Comparisons were made for stay times, door-to-endoscopy time, blood transfusions, hospitalization, and costs between groups at each risk level. Notably, the implementation of the emergency treatment fast track for patients with GBS ≥ 12 demonstrated significant advantages over traditional treatment models. Therefore, we identified GBS ≥ 12 as the threshold for implementing the fast track protocol.