Application and prognostic value of AIMS65 score in acute upper gastrointestinal bleeding
Zhang Yi- jie
Wang Zhen
Abstract：Objective To investigate the application of AIMS65 score and its prognostic value in patients with acute upper gastrointestinal bleeding ( AUGIB) in emergency department. Methods 128 patients with AUGIB in our emergency department from 2015 -01 -01 to 2016 -06 -01 were retrospectively analyzed. The AIMS65 score, Glasgow-Blatchford score(GBS)and APACHEⅡ score were calculated. According to the overall prognosis, the patients were divided into death group and non-death group. The scores of the two groups were compared, and the prognostic value was evaluated by ROC curve and consistency test. Results The AIMS65 score, GBS and APACHEⅡ score in the death group were higher than those in non-death group(P<0. 05). Pearson′s correlation coefficient of AIMS65 and APACHEⅡ score was the highest(0. 646, P <0. 001). The area under ROC curve for AIMS65 was 0. 869 ± 0. 054. With AIMS65>2 as the standard for the consistency test, the sensitivity, specificity and total consistent rate of predicting the death were 63. 6%, 93. 2% and 90. 7%, Kappa=0. 488(P<0. 001). Conclusion AIMS65 is a simple score which can well predict the prognosis of patients with AUGIB, and is suitable for rapid evaluation of emergency department.
Keywords：Acute upper gastrointestinal bleedingAIMS65 scoreGlasgow -Blatchford scorePrognosis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 932-934 )