Saltzman et al developed a simple score for evaluating an in-patient with acute upper gastrointestinal (GI) bleeding. The authors are from Brigham and Women's Hospital and CareFusion, Inc in Massachusetts.
The name AIMS65 is an acronym based on the 5 parameters used for the score.
Patient selection: in-patient with acute GI hemorrhage
Outcome: short-term mortality
Parameters:
(1) serum albumin in g/dL (A)
(2) INR (I)
(3) mental status (M)
(4) systolic blood pressure (S)
(5) age in years (65)
|
Parameter |
Finding |
Points |
|
serum albumin |
>= 3 g/dL |
0 |
|
|
< 3 g/dL |
1 |
|
INR |
<= 1.5 |
0 |
|
|
> 1.5 |
1 |
|
mental status |
not altered |
0 |
|
|
altered |
1 |
|
systolic blood pressure |
> 90 mm Hg |
0 |
|
|
<= 90 mm Hg |
1 |
|
age in years |
<= 65 years |
0 |
|
|
> 65 years |
1 |
total score =
= SUM(points for all 5 parameters)
|
Albumin |
Mental Status |
SBP |
Age |
INR |
Percent |
|
< 3 |
NA |
NA |
NA |
NA |
8.7% |
|
>= 3 |
No |
> 90 |
NA |
NA |
1% |
|
>= 3 |
No |
<= 90 |
<= 65 |
NA |
1.1% |
|
>= 3 |
No |
<= 90 |
> 65 |
NA |
4.8% |
|
>= 3 |
Yes |
> 90 |
NA |
<= 1.5 |
3.4% |
|
>= 3 |
Yes |
> 90 |
NA |
> 1.5 |
8.4% |
|
>= 3 |
Yes |
<= 90 |
NA |
NA |
14.4% |
Interpretation:
• minimum score: 0
• maximum score: 5
• The higher the score the worse the prognosis.
|
Total Score |
Risk Group |
|
0 or 1 |
low |
|
2 to 5 |
high |
Specialty: Gastroenterology
