Abstract
BACKGROUND: Acute upper gastrointestinal bleeding (AUGIB) is a potentially life-threatening condition that requires rapid assessment in the emergency department. The current available scores are complex and have not been widely used in clinical practice. AIMS65 score is a simple score that can be used to risk stratify patients with AUGIB.
 METHODS: This was a descriptive cross-sectional study done at a single tertiary centre, NAMS, Bir Hospital among the patients presenting with AUGIB from August 2018 to January 2019. AIMS65 scores were calculated in patients presenting with acute UGIB by allotting 1 point each for albumin level < 3g/dl, INR > 1.5, alteration in mental status, systolic blood pressure ≤90 mm Hg, and age ≥65 years. Risk stratification was done during the initial 12 hours of hospital admission.
 RESULTS: A total of 84 patients consisting of 68 males and 16 females were enrolled in our study, with age ranging from 27 to 80 years. ICU admission, endoscopic therapy and blood transfusion were required in 22,44 and 49 patients respectively. In-patient mortality, the need for blood transfusion, endoscopic therapy or ICU admission were higher in those with AIMS65 score ≥ 2 showing statistically significant positive association (p=0.000).
 CONCLUSION: AIMS65 score is a simple non-endoscopic risk score that can be applied in patients of acute upper gastrointestinal bleeding to risk stratify and to predict in-patient mortality, the need for blood transfusion, endoscopic therapy or ICU admission.
Highlights
Upper gastrointestinal bleeding (UGIB) is a gastrointestinal emergency that can result in significant morbidity, mortality, and use of health care resources
AIMS65 score is a simple score that can be used to risk stratify patients with Acute upper gastrointestinal bleeding (AUGIB). This was a descriptive cross-sectional study done at a single tertiary centre, National Academy of Medical Sciences (NAMS), Bir Hospital among the patients presenting with AUGIB from August 2018 to January 2019
AIMS65 score is a simple non-endoscopic risk score that can be applied in patients of acute upper gastrointestinal bleeding to risk stratify and to predict in-patient mortality, the need for blood transfusion, endoscopic therapy or ICU admission
Summary
Upper gastrointestinal bleeding (UGIB) is a gastrointestinal emergency that can result in significant morbidity, mortality, and use of health care resources. The etiology of UGIB can vary from trivial causes like gastric erosions to potentially fatal conditions like aorto-enteric fistula.[1]. Identification of high risk patients can help to predict those requiring endoscopic intervention or intensive care. Many risk scoring systems like Glasgow-Blatchford score (GBS), Rockall risk score (RS), and AIMS65 score (AIMS65) have been developed among which AIMS65 is relatively simple and easy to use.[2]. Acute upper gastrointestinal bleeding (AUGIB) is a potentially life-threatening condition that requires rapid assessment in the emergency department.The current available scores are complex and have not been widely used in clinical practice. AIMS65 score is a simple score that can be used to risk stratify patients with AUGIB
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