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2015 ; 48
(6
): 522-7
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The AIMS65 Score Is a Useful Predictor of Mortality in Patients with Nonvariceal
Upper Gastrointestinal Bleeding: Urgent Endoscopy in Patients with High AIMS65
Scores
#MMPMID26668799
Park SW
; Song YW
; Tak DH
; Ahn BM
; Kang SH
; Moon HS
; Sung JK
; Jeong HY
Clin Endosc
2015[Nov]; 48
(6
): 522-7
PMID26668799
show ga
BACKGROUND/AIMS: To validate the AIMS65 score for predicting mortality of
patients with nonvariceal upper gastrointestinal bleeding and to evaluate the
effectiveness of urgent (<8 hours) endoscopic procedures in patients with high
AIMS65 scores. METHODS: This was a 5-year single-center, retrospective study.
Nonvariceal, upper gastrointestinal bleeding was assessed by using the AIM65 and
Rockall scores. Scores for mortality were assessed by calculating the area under
the receiver-operating characteristic curve (AUROC). Patients with high AIMS65
scores (?2) were allocated to either the urgent or non-urgent endoscopic
procedure group. In-hospital mortality, success of endoscopic procedure,
recurrence of bleeding, admission period, and dose of transfusion were compared
between groups. RESULTS: A total of 634 patients were analyzed. The AIMS65 score
successfully predicted mortality (AUROC=0.943; 95% confidence interval [CI],
0.876 to 0.99) and was superior to the Rockall score (AUROC=0.856; 95% CI, 0.743
to 0.969) in predicting mortality. The group with high AIMS65 score included 200
patients. The urgent endoscopic procedure group had reduced hospitalization
periods (p<0.05). CONCLUSIONS: AIMS65 score may be useful in predicting mortality
in patients with nonvariceal upper gastrointestinal bleeding. Urgent endoscopic
procedures in patients with high scores may be related to reduced hospitalization
periods.