BACKGROUND AND AIMS: The American College of Gastroenterology recommends early risk stratification in @entity1 presenting with @entity548 ( @entity548 ). The AIMS65 score is a risk stratification score previously validated to predict inpatient mortality. The aim of this study was to validate the AIMS65 score as a predictor of inpatient mortality in @entity1 with acute @entity548 and to compare it with established pre- and postendoscopy risk scores. METHODS: ICD-10 (International Classification of Diseases, Tenth Revision) codes identified @entity1 presenting with @entity548 requiring endoscopy. All @entity1 were risk stratified by using the AIMS65, @entity18880 ( @entity18880 ), pre-endoscopy Rockall, and full Rockall scores. The primary outcome was inpatient mortality. Secondary outcomes were a composite endpoint of inpatient mortality, rebleeding, and endoscopic, radiologic, or surgical intervention; blood transfusion requirement; intensive care unit (ICU) admission; rebleeding; and hospital length of stay. The area under the receiver-operating characteristic curve (AUROC) was calculated for each score. RESULTS: Of the 424 study @entity1 , 18 (4.2%) died and 69 (16%) achieved the composite endpoint. The AIMS65 score was superior to both the @entity18880 (AUROC, 0.80 vs 0.76, P  < .027) and the pre-endoscopy Rockall score (0.74, P  = .001) and equivalent to the full Rockall score (0.78, P  = .18) in predicting inpatient mortality. The AIMS65 score was superior to all other scores in predicting the need for ICU admission and length of hospital stay. AIMS65, @entity18880 , and full Rockall scores were equivalent (AUROCs, 0.63 vs 0.62 vs 0.63, respectively) and superior to pre-endoscopy Rockall (AUROC, 0.55) in predicting the composite endpoint. @entity18880 was superior to all other scores for predicting blood transfusion. CONCLUSION: The AIMS65 score is a simple risk stratification score for @entity548 with accuracy superior to that of @entity18880 and pre-endoscopy Rockall scores in predicting in-hospital mortality and the need for ICU admission.

Risk stratification in XXXX : comparison of the AIMS65 score with the Glasgow-Blatchford and Rockall scoring systems.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity18880 :: ('MESH:C536506', 'Disease') :: ['Glasgow-Blatchford score', 'GBS'] @entity548 :: ('MESH:D006470', 'Disease') :: ['upper GI bleeding', 'UGIB']
@entity548 :: (MESH:D006470,Disease) :: ['acute upper GI bleeding']
