The comparison between Glasgow Blatchford score and AIMS65 score in predicting outcome in upper gastrointestinal bleeding for Asian population

Hasmoni, Mohamed Hadzri and Jaafar, Khairul Azhar and Mohd Firdaus, Mohd Al-Baqlish (2017) The comparison between Glasgow Blatchford score and AIMS65 score in predicting outcome in upper gastrointestinal bleeding for Asian population. Research Report. UNSPECIFIED. (Unpublished)

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Abstract

Background: AIMS65 is a score designed to predict in-hospital mortality, length of stay, and costs of gastrointestinal bleeding. Objectives: Our aims were to evaluate the performance of the AIMS65 compared with Glasgow Blatchford score (GBS) in predicting in-patient mortality, and the secondary outcomes include composite clinical endpoint of intensive care unit (ICU) admission; timing of endoscopy; re-endoscopy; blood transfusion and length of hospital stay. Methodology: The study was successful in recruiting 103 patients. Clinical and biochemical data, transfusion requirements, endoscopic treatment and its timing, and outcomes for 3 months after admission were collected. Clinical outcomes were in-hospital, re-endoscopy, blood transfusions, and length of stay. Findings: In receiver-operating characteristic curve analyses, AIMS65 was significantly better in predicting inpatient mortality compared with GBS (0.196 vs 0.464). In fact, AIMS65 showed a statistically significant association with mortality for patients with AUGIB (P=0.012). AIMS65 and GBS were identical in predicting ICU (0.600 vs 0.533), timing of endoscopy (0.428 vs 0.458), re-endoscopy (0.407 vs 0.537), blood transfusion (0.694 vs 0.667) and length of hospital stay (0.600 vs 0.350). Conclusion: AIMS65 is a better score predicting mortality compared with GBS. AIMS65 is comparable to GBS in essential endpoints such as the need for ICU admission, timing of endoscopy, re-endoscopic intervention, blood transfusion and length of hospital stay.

Item Type:	Monograph (Research Report)
Additional Information:	4050/58630
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Mohamed Hadzri Hasmoni
Date Deposited:	03 Feb 2018 17:00
Last Modified:	03 Feb 2018 17:05
URI:	http://irep.iium.edu.my/id/eprint/58630

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