11. Frequency of Mortality in Patient Having High Aims 65 Score Greater or Equal to 2 in Acute Upper Gastrointestinal Bleeding
Baseer Sultan Ahmad, Shahid Karim, Adeel Ahmad, Muhammad Mansoor ul Haq and Perzez Ashraf
ABSTRACT
Objective: To determine the frequency of mortality in patient having high AIMS 65 score greater or equal to 2 in Acute Upper Gastrointestinal Bleeding.
Study Design: Retrospective observational study
Place and Duration of Study: This study was conducted at the Department of Gastroenterology and Hepatology, Liaquat national hospital, Karachi from December 2015 to December 2016.
Materials and Methods: We analyzed 158 patients who presented with melena or hematemesis in Emergency Unit Patients with hypovolemic shock or altered sensorium were shifted to intensive care unit for resuscitation, blood units were transfused to maintain hemoglobin up to 8gm/dl and patients having AIMS 65 score greater or equal to 2 were included in this study. The AIMS65 is simple and effortless to calculate, variables include albumin, international normalized ratio (INR), mental status, systolic blood pressure, and age. The score is calculated at bedside, in the emergency department, as an initial risk evaluation tool. Patients with AIMS 65≥2 were followed for one months and survival status in term of mortality or alive was noted.
Results: Overall 158 patients were included in our study, with mean age of 52.91±11.62 years. Frequency of mortality in patient having high aims 65 score in UGIB was observed in 8.86%.
Conclusion: AIMS 65 is a modest, validated, risk assessment score that prognosticate in hospital mortality in patients with UGIB.
Key Words: Upper Gastrointestinal Bleed, Mortality, AIMS 65 score
Citation of articles: Ahmad BS, Karim S, Ahmad B, Haq MM, Ashraf P. Frequency of Mortality in Patient Having High Aims 65 Score Greater or Equal to 2 in Acute Upper Gastrointestinal Bleeding. Med Forum 2017;28(9):40-44.