Is the AIMS 65 score useful in prepdicting clinical outcomes in Korean patients with variceal and nonvariceal upper gastrointestinal bleeding?

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5 Citations (Scopus)

Abstract

Background/Aims: Various clinical scoring systems, including the Glasgow-Blatchford score (GBS), Rockall risk score (RS), and AIMS65 score (AIMS65), have been validated to predict the clinical outcomes in patients with upper gastrointestinal bleeding (UGIB). We compared the performance of these three scoring systems in predicting clinical outcomes in patients with UGIB in Korea. Methods: We retrospectively evaluated 286 patients with UGIB who visited emergency department. The primary outcome was the need for clinical intervention (endoscopic, radiologic, or surgical) and blood transfusion. Results: The causes of UGIB were esophageal/gastric varices in 64 patients, peptic ulcer in 168, Mallory-Weiss tear in 32, malignancy of UGI tract in eight, and unknown in 14. One hundred seventy-four (61%) patients required blood transfusion, 166 (58%) required endoscopic intervention, and 10 (3.5%) required surgical intervention. The GBS outperformed the RS and AIMS65 in predicting the need for endoscopic intervention. Conclusions: The GBS and RS were more accurate than AIMS65 in predicting the need for clinical interventions and transfusion patients with UGIB, regardless of variceal or nonvariceal bleeding. The AIMS65 may not be optimal for predicting clinical outcomes of UGIB in Korea.

Original languageEnglish
Pages (from-to)813-820
Number of pages8
JournalGut and Liver
Volume11
Issue number6
DOIs
Publication statusPublished - 2017 Nov 1

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Hemorrhage
Korea
Blood Transfusion
Mallory-Weiss Syndrome
Esophageal and Gastric Varices
Peptic Ulcer
Hospital Emergency Service
Neoplasms

Keywords

  • Gastrointestinal hemorrhage
  • Mortality
  • Risk assessment

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

@article{5eb5e17c243b43379c3555ecc5c0e765,
title = "Is the AIMS 65 score useful in prepdicting clinical outcomes in Korean patients with variceal and nonvariceal upper gastrointestinal bleeding?",
abstract = "Background/Aims: Various clinical scoring systems, including the Glasgow-Blatchford score (GBS), Rockall risk score (RS), and AIMS65 score (AIMS65), have been validated to predict the clinical outcomes in patients with upper gastrointestinal bleeding (UGIB). We compared the performance of these three scoring systems in predicting clinical outcomes in patients with UGIB in Korea. Methods: We retrospectively evaluated 286 patients with UGIB who visited emergency department. The primary outcome was the need for clinical intervention (endoscopic, radiologic, or surgical) and blood transfusion. Results: The causes of UGIB were esophageal/gastric varices in 64 patients, peptic ulcer in 168, Mallory-Weiss tear in 32, malignancy of UGI tract in eight, and unknown in 14. One hundred seventy-four (61{\%}) patients required blood transfusion, 166 (58{\%}) required endoscopic intervention, and 10 (3.5{\%}) required surgical intervention. The GBS outperformed the RS and AIMS65 in predicting the need for endoscopic intervention. Conclusions: The GBS and RS were more accurate than AIMS65 in predicting the need for clinical interventions and transfusion patients with UGIB, regardless of variceal or nonvariceal bleeding. The AIMS65 may not be optimal for predicting clinical outcomes of UGIB in Korea.",
keywords = "Gastrointestinal hemorrhage, Mortality, Risk assessment",
author = "Choe, {Jung Wan} and Kim, {Seung Young} and Hyun, {Jong Jin} and Jung, {Sung Woo} and Jung, {Young Kul} and Koo, {Ja Seol} and Yim, {Hyung Joon} and Lee, {Sang Woo}",
year = "2017",
month = "11",
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doi = "10.5009/gnl16607",
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journal = "Gut and Liver",
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T1 - Is the AIMS 65 score useful in prepdicting clinical outcomes in Korean patients with variceal and nonvariceal upper gastrointestinal bleeding?

AU - Choe, Jung Wan

AU - Kim, Seung Young

AU - Hyun, Jong Jin

AU - Jung, Sung Woo

AU - Jung, Young Kul

AU - Koo, Ja Seol

AU - Yim, Hyung Joon

AU - Lee, Sang Woo

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Background/Aims: Various clinical scoring systems, including the Glasgow-Blatchford score (GBS), Rockall risk score (RS), and AIMS65 score (AIMS65), have been validated to predict the clinical outcomes in patients with upper gastrointestinal bleeding (UGIB). We compared the performance of these three scoring systems in predicting clinical outcomes in patients with UGIB in Korea. Methods: We retrospectively evaluated 286 patients with UGIB who visited emergency department. The primary outcome was the need for clinical intervention (endoscopic, radiologic, or surgical) and blood transfusion. Results: The causes of UGIB were esophageal/gastric varices in 64 patients, peptic ulcer in 168, Mallory-Weiss tear in 32, malignancy of UGI tract in eight, and unknown in 14. One hundred seventy-four (61%) patients required blood transfusion, 166 (58%) required endoscopic intervention, and 10 (3.5%) required surgical intervention. The GBS outperformed the RS and AIMS65 in predicting the need for endoscopic intervention. Conclusions: The GBS and RS were more accurate than AIMS65 in predicting the need for clinical interventions and transfusion patients with UGIB, regardless of variceal or nonvariceal bleeding. The AIMS65 may not be optimal for predicting clinical outcomes of UGIB in Korea.

AB - Background/Aims: Various clinical scoring systems, including the Glasgow-Blatchford score (GBS), Rockall risk score (RS), and AIMS65 score (AIMS65), have been validated to predict the clinical outcomes in patients with upper gastrointestinal bleeding (UGIB). We compared the performance of these three scoring systems in predicting clinical outcomes in patients with UGIB in Korea. Methods: We retrospectively evaluated 286 patients with UGIB who visited emergency department. The primary outcome was the need for clinical intervention (endoscopic, radiologic, or surgical) and blood transfusion. Results: The causes of UGIB were esophageal/gastric varices in 64 patients, peptic ulcer in 168, Mallory-Weiss tear in 32, malignancy of UGI tract in eight, and unknown in 14. One hundred seventy-four (61%) patients required blood transfusion, 166 (58%) required endoscopic intervention, and 10 (3.5%) required surgical intervention. The GBS outperformed the RS and AIMS65 in predicting the need for endoscopic intervention. Conclusions: The GBS and RS were more accurate than AIMS65 in predicting the need for clinical interventions and transfusion patients with UGIB, regardless of variceal or nonvariceal bleeding. The AIMS65 may not be optimal for predicting clinical outcomes of UGIB in Korea.

KW - Gastrointestinal hemorrhage

KW - Mortality

KW - Risk assessment

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