AIMS65 Score for Predicting Mortality in Acute Upper Gastrointestinal Bleeding

Early risk stratification is the standard of care for acute upper gastrointestinal bleeding. Multiple scoring systems are used to accomplish this — most commonly the pre-endoscopy and post-endoscopy Rockall scores (pre-RS and post-RS) and the Glasgow-Blatchford score (GBS). The most recently proposed score, the AIMS65, is touted by its proponents as simpler and more likely to be used than other scores.

To compare the predictive abilities of these four scoring systems, investigators retrospectively assessed in-hospital mortality (primary endpoint) and subsequent complication or intervention (a composite secondary endpoint) in 424 patients with acute upper gastrointestinal bleeding who underwent endoscopy at a single hospital in Australia. The…