ASSESSMENT OF PATIENTS WITH NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING USING AIMS65 SCORE

The upper gastrointestinal bleeding (GIB) is a common emergency in hospital admission among patients with internal diseases. The aim of this study was to investigate the outcomes of patients with non-variceal upper GIB‚ using the AIMS65 index in the Razi hospital in Rasht, 2018-2019.

In this cross-sectional study, 112 patients with GIB, referred to Razi Hospital in Rasht between 2017-2018 were selected using convenient sampling method and included in the study. The AIMS65 score was used to check GIB. In this score, some risk factors including albumin, INR, and hemoglobin levels and systolic blood pressure of both hands, consciousness based on Glasgow criteria, and age were documented. The score of the patients were calculated based on how many risk factors they had from 0 to 5. Based on this, patients are classified into two groups of high-risk or emergency (with a score of >2) and low-risk or non-emergency (with a score of < 2) and then endoscopy is performed on them.

Based on AIMS65 score, 73.2% of the patients had scores below 2 and classified in the non-emergency group, and the rest had scores higher than 2 and classified in the emergency group. The results showed that there was a statistically significant difference between the risk of in-hospital mortality, rebleeding, and the mortality status of the patients 3 months after the first referral. (p<0.05).

In this study, we concluded that AIMS65 score is effective in predicting in-hospital mortality and recurrent hemorrhage and its prognosis. However, it cannot be a suitable criterion in determining need, time, and endoscopic interventions for ICU hospitalization.