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학술저널
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대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제48권 제5호
발행연도
2015.1
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380 - 384 (5page)

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Background/Aims: To evaluate the ability of the recently proposed albumin, international normalized ratio (INR), mental status, systolic blood pressure, age >65 years (AIMS65) score to predict mortality in patients with acute upper gastrointestinal bleeding (UGIB). Methods: AIMS65 scores were calculated in 251 consecutive patients presenting with acute UGIB by allotting 1 point each for albumin level <30 g/L, INR >1.5, alteration in mental status, systolic blood pressure ≤90 mm Hg, and age ≥65 years. Risk stratification was done during the initial 12 hours of hospital admission. Results: Intensive care unit (ICU) admission, endoscopic therapy, or surgery were required in 51 patients (20.3%), 64 (25.5%), and 12 (4.8%), respectively. The predictive accuracy of AIMS65 scores ≥2 was high for blood transfusion (area under the receiver operator characteristic curve [AUROC], 0.59), ICU admission (AUROC, 0.61), and mortality (AUROC, 0.74). The overall mortality was 10.3% (n=26), and was 3%, 7.8%, 20%, 36%, and 40% for AIMS65 scores of 0, 1, 2, 3, and 4, respectively; these values were significantly higher in those with scores ≥2 (30.9%) than in those with scores <2 (4.5%, p<0.001). Conclusions: AIMS65 is a simple, accurate, non-endoscopic risk score that can be applied early (within 12 hours of hospital admission) in patients with acute UGIB. AIMS65 scores ≥2 predict high in-hospital mortality.
#AIMS65 score #Upper gastrointestinal bleed #Endoscopy #Mortality

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참고문헌 (1)

참고문헌 신청
Loperfido S / 2009 / Changing trends in acute upper-GI bleeding: a population-based study / Gastrointest Endosc 70 : 212 ~ 224 | 2. [학술지(정기간행물)] - Stanley AJ / 2009 / Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation / Lancet 373 : 42 ~ 47 | 3. [학술지(정기간행물)] - Rockall TA / 1996 / Risk assessment after acute upper gastrointestinal haemorrhage / Gut 38 : 316 ~ 321 | 4. [학술지(정기간행물)] - Vreeburg EM / 1999 / Validation of the Rockall risk scoring system in upper gastrointestinal bleeding / Gut 44 : 331 ~ 335 | 5. [학술지(정기간행물)] - Saltzman JR / 2011 / A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleeding / Gastrointest Endosc 74 : 1215 ~ 1224 | 6. [학술지(정기간행물)] - Hyett BH / 2013 / The AIMS65 score compared with the Glasgow-Blatchford score in predicting outcomes in upper GI bleeding / Gastrointest Endosc 77 : 551 ~ 557 | 7. [학술지(정기간행물)] - Adams BD / 2008 / The law of unintended consequences: the Joint Commission regulations and the digital rectal examination / Ann Emerg Med 51 : 197 ~ 201 | 8. [학술지(정기간행물)] - Le Jeune IR / 2011 / Safe discharge of patients with low-risk upper gastrointestinal bleeding (UGIB): can the use of Glasgow-Blatchford Bleeding Score be extended? / Acute Med 10 : 176 ~ 181 | 9. [학술지(정기간행물)] - Stephens JR / 2009 / Management of minor upper gastrointestinal haemorrhage in the community using the Glasgow Blatchford Score / Eur J Gastroenterol Hepatol 21 : 1340 ~ 1346 | 10. [학술지(정기간행물)] - Dicu D / 2013 / Comparison of risk scoring systems in predicting clinical outcome at upper gastrointestinal bleeding patients in an emergency unit / Am J Emerg Med 31 : 94 ~ 99 | 11. [학술지(정기간행물)] - Wang CH / 2013 / A prospective comparison of 3 scoring systems in upper gastrointestinal bleeding / Am J Emerg Med 31 : 775 ~ 778 | 12. [학술지(정기간행물)] - Bryant RV / 2013 / Performance of the Glasgow- Blatchford score in predicting clinical outcomes and intervention in hospitalized patients with upper GI bleeding / Gastrointest Endosc 78 : 576 ~ 583 | 13. [학술지(정기간행물)] - Chen IC / 2007 / Risk scoring systems to predict need for clinical intervention for patients with nonvariceal upper gastrointestinal tract bleeding / Am J Emerg Med 25 : 774 ~ 779 | 14. [학술지(정기간행물)] - Jung SH / 2014 / Is the AIMS65 score useful in predicting outcomes in peptic ulcer bleeding? / World J Gastroenterol 20 : 1846 ~ 1851 | 15. [학술지(정기간행물)] - Chandra S / 2013 / AIMS65 score predicts short-term mortality but not the need for intervention in acute upper GI bleeding / Gastrointest Endosc 78 : 381 ~ 382 | 16. [학술지(정기간행물)] - Nakamura S / 2014 / Emergency endoscopy for acute gastrointestinal bleeding: prognostic value of endoscopic hemostasis and the AIMS65 score in Japanese patients / Dig Endosc 26 : 369 ~ 376 | 17. [학술지(정기간행물)] - Masaoka T / 2014 / Does the AIMS65, a new risk score for upper gastrointestinal bleeding, work in Japan? / Dig Endosc 26 : 331 ~ 332 google schola

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