ABSTRACT

Introduction: Acute upper gastrointestinal bleeding (UGIB) is common life threatening condition, causes significant health & economic burden. The evaluation of severity of UGIB is important. For this purpose several risk assessment scores has been developed. However these are not routinely adopted in clinical practice. AIMS65 score is new and very simple to use. Objective: - To determine the frequency of mortality in UGIB patients presented with AIMS65 SCORE ? 2. Material and methods: DESIGN: Case series. SETTING: - Liaquat University Hospital at Jamshoro. Duration: - Six months from 27 MAY 2015 to 26 NOVEMBER 2015. Subject and Methods: A total of 142 patients of with UGIB with AIMS65?2 were included. Required laboratory data was obtained from laboratory of hospital. Patients were followed for 30 days to assess the survival status i.e. alive or dead. All the information gathers into proforma. Results: Frequency of mortality in UGIB having AIMS65 score ?2was 35.92% patients. Mortality in patients with AIMS65 score 2 had4.3% (1/23), score 3 had20.6% (7/34), score 4 had49.4% (38/145) and score 5 had 62.5% (5/8) mortality. Rate of mortality was significantly high in AIMS65 score 4 to 5 as compare to 2 to 3 score [50.59% vs. 14.04%; p=0.0005]. Conclusion: It is concluded that AIMS65 is a simple, accurate, non-endoscopic risk score that can be applied in patients with acute UGIB. Keywords: Acute upper gastrointestinal bleeding, AIMS65 Score, Mortality
Publication date: 01/02/2020

https://ijbpas.com/pdf/2020/February/MS_IJBPAS_2020_4964.pdf

Download PDF
https://doi.org/10.31032/IJBPAS/2020/9.2.4964