Comparison of the AIMS65 score with the Glasgow-Blatchford and Rockall scoring systems for the prediction of the risk of in-hospital death among patients with upper gastrointestinal bleeding
- 1 January 2020
- journal article
- research article
- Published by Sociedad Espanola de Patologia Digestiva (SEPD) in Revista Española de Enfermedades Digestivas
- Vol. 112 (6), 467-473
- https://doi.org/10.17235/reed.2020.6496/2019
Abstract
Objective: the aim of this study was to compare the AIMS65, Glasgow-Blatchford score (GBS) and Rockall score for the prediction of the risk of in-hospital death among patients with upper gastrointestinal bleeding (UGIB). Methods: patients with UGIB admitted to the ZhongDa hospital from June 2015 to July 2017 were retrospectively collected. All patients were assessed by the AIMS65, GBS and Rockall score and the main outcomes were in-hospital mortality. Odds ratios (OR) and 95 % confidence interval (CI) were estimated to assess the association of the three scores with the risk of death using logistic regression models. Subsequently, their risk stratification accuracy were compared. Finally, their predictive power was compared using the area under the receiver operating characteristic curve (AUROC). Results: of the 284 UGIB patients enrolled in the study, 51 (18.0 %) had variceal bleeding (VUGIB) and 10 patients (3.5 %) died. AIMS65 (OR = 5.14, 95 % CI= 2.48, 10.64), GBS (OR = 1.66, 95 % CI = 1.28, 2.15) and Rockall (OR = 2.72, 95 % CI = 1.76, 4.18) scores were positively associated with death risk among all patients. The AIMS65 score (high-risk group vs low-risk group: 11.9 % vs 0.0 %, p < 0.001) was effective to classify high-risk in-hospital deaths populations. The AIMS65 score was the best approach to predict in-hospital death among all UGIB patients (AUROC: AIMS65 0.955, GBS 0.882, Rockall 0.938), NVUGIB patients (AUROC = 0.969, 95 % CI = 0.937, 0.989) or VUGIB patients (AUROC = 0.885, 95 % CI = 0.765, 0.967). Conclusions: the AIMS65 score is the most convenient UGIB prognostic score to predict in-hospital mortality and may be more suitable for patients with NVUGIB.This publication has 23 references indexed in Scilit:
- Is the AIMS65 score useful in predicting outcomes in peptic ulcer bleeding?World Journal of Gastroenterology, 2014
- The “Prometeo” StudyJournal of Clinical Gastroenterology, 2013
- A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleedingGastrointestinal Endoscopy, 2011
- Systematic Review of the Epidemiology of Complicated Peptic Ulcer Disease: Incidence, Recurrence, Risk Factors and MortalityDigestion, 2011
- Comparing the Blatchford and pre-endoscopic Rockall score in predicting the need for endoscopic therapy in patients with upper GI hemorrhageGastrointestinal Endoscopy, 2010
- International Consensus Recommendations on the Management of Patients With Nonvariceal Upper Gastrointestinal BleedingAnnals of Internal Medicine, 2010
- Risk scoring systems to predict need for clinical intervention for patients with nonvariceal upper gastrointestinal tract bleedingThe American Journal of Emergency Medicine, 2007
- Simple Clinical Predictors May Obviate Urgent Endoscopy in Selected Patients With Nonvariceal Upper Gastrointestinal Tract BleedingArchives of Internal Medicine, 2007
- A risk score to predict need for treatment for uppergastrointestinal haemorrhageThe Lancet, 2000
- Risk assessment after acute upper gastrointestinal haemorrhage.Gut, 1996