Gut Liver.  2016 Jul;10(4):526-531. 10.5009/gnl15153.

Comparison of AIMS65 Score and Other Scoring Systems for Predicting Clinical Outcomes in Koreans with Nonvariceal Upper Gastrointestinal Bleeding

• Park SM
• Yeum SC
• Kim BW
• Kim JS
• Kim JH
• Sim EH
• Ji JS
• Choi H

• KMID: 2412039
• DOI: http://doi.org/10.5009/gnl15153

Abstract

BACKGROUND/AIMS
The AIMS65 score has not been sufficiently validated in Korea. The objective of this study was to compare the AIMS65 and other scoring systems for the prediction of various clinical outcomes in Korean patients with acute nonvariceal upper gastrointestinal bleeding (NVUGIB).
METHODS
The AIMS65 score, clinical and full Rockall scores (cRS and fRS) and Glasgow-Blatchford (GBS) score were calculated in patients with NVUGIB in a single center retrospectively. The performance of these scores for predicting mortality, rebleeding, transfusion requirement, and endoscopic intervention was assessed by calculating the area under the receiver-operating characteristic curve.
RESULTS
Of the 523 patients, 3.4% died within 30 days, 2.5% experienced rebleeding, 40.0% required endoscopic intervention, and 75.7% needed transfusion. The AIMS65 score was useful for predicting the 30-day mortality, the need for endoscopic intervention and for transfusion. The fRS was superior to the AIMS65, GBS, and cRS for predicting endoscopic intervention and the GBS was superior to the AIMS65, fRS, and cRS for predicting the transfusion requirement.
CONCLUSIONS
The AIMS65 score was useful for predicting the 30-day mortality, transfusion requirement, and endoscopic intervention in Korean patients with acute NVUGIB. However, it was inferior to the GBS and fRS for predicting the transfusion requirement and endoscopic intervention, respectively.

Keyword

Nonvariceal upper gastrointestinal bleeding; AIMS65 score; Rockall score; Glasgow-Blatchford score

MeSH Terms

Acute Disease
Adult
Aged
Blood Transfusion/statistics & numerical data
Female
Gastrointestinal Hemorrhage/*mortality/pathology
Humans
Male
Middle Aged
Predictive Value of Tests
Prognosis
Republic of Korea
Retrospective Studies
Risk Assessment/methods
*Severity of Illness Index
Upper Gastrointestinal Tract/pathology