title: Is the AIMS65 score useful in predicting outcomes in peptic ulcer bleeding?
abstract: OBJECTIVE
  To evaluate the applicability of AIMS65 scores in predicting outcomes of peptic ulcer bleeding.
  
  
  METHODS
  This was a retrospective study in a single center between January 2006 and December 2011. We enrolled 522 patients with upper gastrointestinal haemorrhage who visited the emergency room. High-risk patients were regarded as those who had re-bleeding within 30 d from the first endoscopy as well as those who died within 30 d of visiting the Emergency room. A total of 149 patients with peptic ulcer bleeding were analysed, and the AIMS65 score was used to retrospectively predict the high-risk patients.
  
  
  RESULTS
  A total of 149 patients with peptic ulcer bleeding were analysed. The poor outcome group comprised 28 patients [male: 23 (82.1%) vs female: 5 (10.7%)] while the good outcome group included 121 patients [male: 93 (76.9%) vs female: 28 (23.1%)]. The mean age in each group was not significantly different. The mean serum albumin levels in the poor outcome group were slightly lower than those in the good outcome group (P = 0.072). For the prediction of poor outcome, the AIMS65 score had a sensitivity of 35.5% (95%CI: 27.0-44.8) and a specificity of 82.1% (95%CI: 63.1-93.9) at a score of 0. The AIMS65 score was insufficient for predicting outcomes in peptic ulcer bleeding (area under curve = 0.571; 95%CI: 0.49-0.65).
  
  
  CONCLUSIONS
  The AIMS65 score may therefore not be suitable for predicting clinical outcomes in peptic ulcer bleeding. Low albumin levels may be a risk factor associated with high mortality in peptic ulcer bleeding.
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Sung Hoon
authors.initials: SH
authors.lastname: Jung
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Jung Hwan
authors.initials: JH
authors.lastname: Oh
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Hye Yeon
authors.initials: HY
authors.lastname: Lee
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Joon Won
authors.initials: JW
authors.lastname: Jeong
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Se Eun
authors.initials: SE
authors.lastname: Go
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Chan Ran
authors.initials: CR
authors.lastname: You
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Jeon
authors.affiliation: Sung Hoon Jung, Jung Hwan Oh, Hye Yeon Lee, Joon Won Jeong, Se Eun Go, Chan Ran You, Eun Jung Jeon, Sang Wook Choi, Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul 130-709, South Korea.
authors.forename: Sang Wook
authors.initials: SW
authors.lastname: Choi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D019540:Area Under Curve; D004636:Emergency Service, Hospital; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage; D006801:Humans; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000175:diagnosis*; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis* / Q000401:mortality; D011237:Predictive Value of Tests; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Gastrointestinal haemorrhage; Morbidity; Mortality; Peptic ulcer; Prognosis