ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED

Abstract

Objective: To determine the frequency of mortality in upper gastrointestinal bleed patients having AIMS65 score>3. Study Design: Descriptive case series study. Place and Duration of Study: Department of Accident and Emergency and the Department of Medicine,Combined Military Hospital Quetta, from Sep 2015 to Sep 2016. Material and Methods: All patients having AIMS65 score>3 with UGIB, defined by the presence of hematemesis, melena or hematochezia, and/or a positive N/G tube aspiration for coffee ground, black or bloody contents were enrolled. Information on clinical factors was collected by taking a history and conducting an examination. Blood pressure was recorded manually by mercury sphygmomanometer. Blood samples of patients were collected for serum Albumin and international normalized ratio (INR). Laboratory investigations were sent to hospital laboratory which was headed by classified pathologist. AIMS65 mortality score of UGIB was calculated. Each risk factor (variable) carries one point. Thirty days mortality was calculated in patients with AIMS65 score>3. If the patients had been discharged before the time then outcome was determined through telephone communication. Results: Mean age of the patients was 57.69 ± 16.68 years. There were 51 (32.7%) females and 105 (67.3%) males. Alteration in mental status was observed in 131 (84%) patients. Mortality was observed in 19 (12.2%) patients. Conclusion: The mortality from upper gastrointestinal bleed increased with increasing AIMS score.

Keywords

• upper gastrointestinal bleed
• portal hypertension
• international normalized ratio
• duodenal ulcer