Summary
Usage The AIMS65 score was designed to predict mortality in adults presenting with acute upper GI bleeding (Saltzman, 2011).Simple calculationDoes not rely on endoscopic dataHighly predictive of mortality, cost and length of stay. Summary AIMS65 ScoreDesigned to predict mortality in adults presenting with acute upper GI bleeding.Does not rely on endoscopic data CriteriaThere are 5 equally weighted risk factors that cumulatively predict severity of upper GI bleeding.Albumin <3 g/dL (30 g/L)INR > 1.5Alteration in mental statussBP ≤ 90 mm HgAge ≥ 65 years RulesAIMS65 ScoreIn-hospital Mortality Rate00.3%11.2%25.3%310.3%416.5%524.5% NotesValidations studies demonstrate that AIMS65 is superior to the Glasgow-Blatchford Score (GBS) and the Pre-endoscopy Rockall Score for predicting in-hospital mortality, ICU admission, and Length of Stay (Robertson, 2016).For low risk bleeding, a low AIMS65 score should not be used to dictate discharge (Yaka, 2015). The GBS has shown greater sensitivity and negative predictive value for low bleed risk.GBS may be superior to the AIMS65 in predicting need for intervention or rebleeding (Stanley, 2017)Albumin is the single most predictive factor of mortality of the 5 criteria..