The Cardiovascular
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AIMS65 score for upper GI bleeding mortality

In-hospital mortality risk in acute upper GI bleeding.

AIMS65 score for upper GI bleeding mortality
Albumin <3.0 g/dL (30 g/L)
INR >1.5
Altered mental status
Systolic BP <=90 mmHg
Age >=65 years
Result0 points

In-hospital mortality about 0.3 % in the derivation cohort.

In-hospital mortality
0.3 %

When to use

  • Early risk stratification of acute upper gastrointestinal bleeding, before endoscopy.

Formula

One point each: Albumin <3 g/dL, INR >1.5, altered Mental status, SBP <=90, age >=65. Range 0-5.

Pearls and pitfalls

  • Uses only variables available at presentation and predicts mortality, length of stay and cost.

References

  1. Saltzman JR, et al. Gastrointest Endosc. 2011;74(6):1215-1224.