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| Application and prognostic value of AIMS65 score in acute upper gastrointestinal bleeding |
| Zhang Yi-jie, Wang Zhen |
| Department of Emergency Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China |
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Abstract Objective: To investigate the application of AIMS65 score and its prognostic value in patients with acute upper gastrointestinal bleeding (AUGIB) in emergency department.Methods: 128 patients with AUGIB in our emergency department from 2015-01-01 to 2016-06-01 were retrospectively analyzed. The AIMS65 score, Glasgow-Blatchford score(GBS)and APACHEⅡ score were calculated. According to the overall prognosis, the patients were divided into death group and non-death group. The scores of the two groups were compared, and the prognostic value was evaluated by ROC curve and consistency test. Results: The AIMS65 score, GBS and APACHEⅡ score in the death group were higher than those in non-death group(P＜0.05). Pearson′s correlation coefficient of AIMS65 and APACHEⅡ score was the highest(0.646, P＜0.001). The area under ROC curve for AIMS65 was 0.869±0.054. With AIMS65>2 as the standard for the consistency test, the sensitivity, specificity and total consistent rate of predicting the death were 63.6%, 93.2% and 90.7%, Kappa=0.488(P＜0.001). Conclusion: AIMS65 is a simple score which can well predict the prognosis of patients with AUGIB, and is suitable for rapid evaluation of emergency department.
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Received: 26 April 2017
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Corresponding Authors:
Wang Zhen, E-mail: Wangzhen1369@hotmail.com
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