A Prospective, Multicenter Study of the AIMS65 Score Compared With the Glasgow-Blatchford Score in Predicting Upper Gastrointestinal Hemorrhage Outcomes

Abstract

The AIMS65 score is superior to the GBRS for predicting in-hospital mortality and hospital length of stay for patients with UGIH. The AIMS65 score and GBRS are similar in predicting 30-day mortality, rebleeding, and a composite endpoint.

British Society of Gastroenterology (BSG)-led multisociety consensus care bundle for the early clinical management of acute upper gastrointestinal bleeding

“…We recommend that patients with gbs ≤1 at presentation are considered for outpatient management Level of evidence: Moderate Level of recommendation: Strong Agreement: 100% Agreement Bundle recommendation: Consider discharge if GBS 0 or 1 (100% agreement) Several comparative studies have assessed preendoscopy and postendoscopy risk scores in AUGIB. [38][39][40][41][42][43][44][45][46][47][48][49] These studies confirm GBS is the best at predicting the clinically important composite end point of need for hospital-based intervention (transfusion, endoscopic therapy, interventional radiology, surgery) or death, with high sensitivity at 98.6%. 39 The clinical utility of existing risk scores to identify patients at high risk of poor outcomes appear limited.…”

Scoring systems for upper gastrointestinal bleeding: Which one scores better?

“…Both the studies published in this issue validate the utility of UGIB scores in Indian patients, with the caution from Rout et al that they may not perform as well in the variceal UGIB cohort. There are large prospective studies similar to those of Chandnani et al and Rout et al with more or less similar published results [11][12][13]. There are several unanswered questions.…”

“…Multiple large prospective studies have proved the utility of these scores in predicting the need for interventions, prolonged hospitalization, and mortality [11][12][13]. It was also possible to segregate a group of patients who were at low risk and did not need hospital admission.…”

Characteristics of peptic ulcer bleeding in cirrhosis with esophageal and gastric varices

“…The possible reason may be that more patients with peptic ulcer bleeding had advanced hepatocellular carcinoma and severe multiple organ injuries. Although international guidelines recommend that risk factors should be evaluated for acute UGIB patients [17][18], no specialized scoring system for acute UGIB in liver cirrhosis patients are available right now. In our study, AIMS65, Rockall and Glasgow-Blatch-ford scores were not proved to be independent risk factors for 42-day morality.…”