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THE PROGNOSTIC VALUE OF AIMS65 SCORE IN PREDICTING 30 DAY MORTALITY IN PATIENTS WITH ACUTE NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING
Mhear Alblkhi*, Ismael Hammad and Daad Daghman
Background: Acute upper gastrointestinal bleeding(UGIB) is a frequent reason for hospital admission with high rates of morbidity and mortality, management of UGIB is of a great importance. Objective: the present study aims to assess the predictive accuracy and clinical utility of AIMS65 score system in patients with UGIB. Materials and Methods: This is prospective study conducted in the department of Gastroenterology in Tishreen University Hospital –Lattakia- Syria from November 2019 to November 2020. Patients with acute non-variceal UGIB who presented to the emergency department(ED) were included in the study. Results: A total of 115 patients with acute UGIB were included in the study. The median age was 68 years, 66.10% were men, and the use of antiplatelet drugs was found in 59.1% of patients. Peptic ulcer was the most common diagnosis of acute UGIB(73.9%). The overall 30-day mortality rate was 17.4%, mortality increased by increasing score, with scores of 0,1,2,3,4 for mortality rates of 10%, 10%,20%,25% and 35% respectively. The AIMS65 score was good in predicting mortality with an AUC of 0.81[0.65-0.91], p:0.001, poor in predicting rebleeding with AUC of 0.57 [0.41-0.72], p:0.3 and endoscopic intervention with AUC of 0.55 [0.41-0.69], p:0.5. Conclusion: The AIMS65 score has a good accuracy in predicting death, and the use of this score in the ED might allow to patients with UGIB to be safely managed.[Full Text Article]