Diagnostic accuracy of AIMS-65 clinical scoring system in predicting outcome in patients with upper gastrointestinal bleeding presenting at Tertiary Care Hospital, Karachi.

Abstract

Objectives: To determine the diagnostic accuracy of AIMS-65 clinical scoring system in patients with upper gastrointestinal bleeding by taking mortality as gold standard. Study Design: Cross Sectional study. Setting: Department of Gastroenterology, Liaquat National Hospital Karachi. Period: 6 months from 14th Nov 2018 to 14th May 2019. Material & Methods: All patients who fulfilled the inclusion criteria in the Department of Gastroenterology, Liaquat National Hospital, Karachi were included. After taking informed written consent clinical examination and lab investigations were done to determine the diagnostic accuracy of AIMS-65 clinical scoring system in patients with upper gastrointestinal bleeding by taking mortality as gold standard. Result: Total of 252 patients with UGIB were included. 183 (72.6%) were males & 69 (27.4%) were females, with the mean age was 35.10±7.065 years. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of AIMS 65 scoring system in predicting mortality within 30 days was (77.4%, 84.4, 56.9, 93.3 and 82.93%) in patients with UGIB. Conclusion: In conclusion AIMS 65 score has higher diagnostic accuracy in predicting 30-day mortality in patients with UGIB.