Q: All of the following are predictors of increased inpatient mortality in patients presenting with upper gastro-intestinal bleed (UGIB) except?
A) Albumin less than 3.0 g/dL
B) INR higher than 2
C) Mental status change
D) Systolic blood pressure less than 90 mmHg
E) 65 or older age
Above question represents "AIMS65" score, which has been found to have an excellent accuracy for predicting hospital mortality for patients presenting with UGIB. The score was developed from the cohort of almost 62,000 patients.
A = Albumin less than 3.0 g/dL
I = INR higher than 1.5
M = Mental status change
S = Systolic blood pressure less than 90 mmHg
65 = Age older
1. Saltzman JR, Tabak YP, Hyett BH, et al. A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleeding. Gastrointest Endosc 2011; 74:1215.
2. Hyett BH, Abougergi MS, Charpentier JP, et al. The AIMS65 score compared with the Glasgow-Blatchford score in predicting outcomes in upper GI bleeding. Gastrointest Endosc 2013; 77:551.
3. Tang Y, Shen J, Zhang F, et al. Scoring systems used to predict mortality in patients with acute upper gastrointestinal bleeding in the ED. Am J Emerg Med 2018; 36:27.