What does AIMS65 stand for?

A: Albumin 1.5 (1 pt). M: Altered mental status/GCS = 65 years (1 pt). Score 0-5.

What is the mortality by AIMS65 score?

AIMS65 0: inpatient mortality 0.3%. Score 1: 1.0%. Score 2: 3.9%. Score 3: 9.6%. Score 4: 14.7%. Score 5: 24.5%. Score > 2 indicates high-risk patients warranting ICU-level monitoring and urgent endoscopy.

How does AIMS65 compare to Rockall and Blatchford?

AIMS65 predicts inpatient mortality better than Rockall, and better than Blatchford for mortality (though Blatchford is superior for identifying who needs intervention). AIMS65 is simpler and does not require endoscopy.

AIMS65 Score for Upper GI Bleeding Mortality

Calculate AIMS65 score for upper GI bleeding. Score > 2 = high risk, inpatient mortality 10-26%. Five variables: Albumin < 3, INR > 1.5, Altered mental status, SBP <= 90, Age >= 65.

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Related Calculators

Blatchford Score

Medical

Rockall Score