Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding
Introduction. Unlike Rockall scoring system, AIMS65 is based only on clinical and laboratory features. In this study we investigated the correlation between the AIMS65 score and Endoscopic Rockall score, in cirrhotic and noncirrhotic patients. Methods. This is a retrospective study of patients admit...
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Wiley
2014-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2014/787256 |
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| author | Vinaya Gaduputi Molham Abdulsamad Hassan Tariq Ahmed Rafeeq Naeem Abbas Kavitha Kumbum Sridhar Chilimuri |
| author_facet | Vinaya Gaduputi Molham Abdulsamad Hassan Tariq Ahmed Rafeeq Naeem Abbas Kavitha Kumbum Sridhar Chilimuri |
| author_sort | Vinaya Gaduputi |
| collection | DOAJ |
| description | Introduction. Unlike Rockall scoring system, AIMS65 is based only on clinical and laboratory features. In this study we investigated the correlation between the AIMS65 score and Endoscopic Rockall score, in cirrhotic and noncirrhotic patients. Methods. This is a retrospective study of patients admitted with overt UGIB and undergoing esophagogastroduodenoscopy (EGD). AIMS65 and Rockall scores were calculated at the time of admission. We investigated the correlation between both scores along with stigmata of bleed seen on endoscopy. Results. A total of 1255 patients were studied. 152 patients were cirrhotic while 1103 patients were noncirrhotic. There was significant correlation between AIMS65 and Total Rockall scores in patients of both groups. There was significant correlation between AIMS65 score and Endoscopic Rockall score in noncirrhotics but not cirrhotics. AIMS65 scores in both cirrhotic and noncirrhotic groups were significantly higher in patients who died from UGIB than in patients who did not. Conclusion. We observed statistically significant correlation between AIMS65 score and length of hospitalization and mortality in noncirrhotic patients. We found that AIMS65 score paralleled the endoscopic grading of lesion causing UGIB in noncirrhotics. AIMS65 score correlated only with mortality but not the length of hospitalization or endoscopic stigmata of bleed in cirrhotics. |
| format | Article |
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| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
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| series | Gastroenterology Research and Practice |
| spelling | doaj-art-a58a2136e7ff42e7b908e03fc5ea6c2f2025-08-20T03:38:30ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/787256787256Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal BleedingVinaya Gaduputi0Molham Abdulsamad1Hassan Tariq2Ahmed Rafeeq3Naeem Abbas4Kavitha Kumbum5Sridhar Chilimuri6Department of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Suite No. 10C, Bronx, NY 10457, USAIntroduction. Unlike Rockall scoring system, AIMS65 is based only on clinical and laboratory features. In this study we investigated the correlation between the AIMS65 score and Endoscopic Rockall score, in cirrhotic and noncirrhotic patients. Methods. This is a retrospective study of patients admitted with overt UGIB and undergoing esophagogastroduodenoscopy (EGD). AIMS65 and Rockall scores were calculated at the time of admission. We investigated the correlation between both scores along with stigmata of bleed seen on endoscopy. Results. A total of 1255 patients were studied. 152 patients were cirrhotic while 1103 patients were noncirrhotic. There was significant correlation between AIMS65 and Total Rockall scores in patients of both groups. There was significant correlation between AIMS65 score and Endoscopic Rockall score in noncirrhotics but not cirrhotics. AIMS65 scores in both cirrhotic and noncirrhotic groups were significantly higher in patients who died from UGIB than in patients who did not. Conclusion. We observed statistically significant correlation between AIMS65 score and length of hospitalization and mortality in noncirrhotic patients. We found that AIMS65 score paralleled the endoscopic grading of lesion causing UGIB in noncirrhotics. AIMS65 score correlated only with mortality but not the length of hospitalization or endoscopic stigmata of bleed in cirrhotics.http://dx.doi.org/10.1155/2014/787256 |
| spellingShingle | Vinaya Gaduputi Molham Abdulsamad Hassan Tariq Ahmed Rafeeq Naeem Abbas Kavitha Kumbum Sridhar Chilimuri Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding Gastroenterology Research and Practice |
| title | Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding |
| title_full | Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding |
| title_fullStr | Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding |
| title_full_unstemmed | Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding |
| title_short | Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding |
| title_sort | prognostic value of aims65 score in cirrhotic patients with upper gastrointestinal bleeding |
| url | http://dx.doi.org/10.1155/2014/787256 |
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