title: [AIMS65 score validation for upper gastrointestinal bleeding in the National Hospital Cayetano Heredia].
abstract: OBJECTIVE
  To validate the score AIMS65 in patients with upper gastrointestinal bleeding, in terms of mortality and rebleeding a 30-day event.
  
  
  METHODS
  Patients included were those with higher age to 18 years attending the Hospital Nacional Cayetano Heredia during the period May 2013 to December 2014, by upper gastrointestinal bleeding. Data were analyzed using ROC curve (Receiver Operating Characteristic) and the area was obtained under the curve (AUC) to properly qualify the score AIMS65.
  
  
  RESULTS
  209 patients were included, 66.03% were male, with an average age of 58.02 years. The mortality rate was 7.65%, the multiorgan failure the most common cause of death. Plus 3.82% of the patients had recurrent bleeding and 11% required a transfusion of more than 2 units of blood. When analyzing the ROC curve with AIMS65 and mortality score a value of 0.9122 is reported; identifying it as cutoff greater than or equal to 3 value in the score AIMS65 to discriminate patients at high risk of death, likewise the ROC curve was analyzed for recurrence of bleeding with a value of 0.6266 and the need to Transfusion of packed red blood cells over two a value of 0.7421. And it was determined the average hospital stay with a value of 4.8 days, however, no correlation was found with the score AIMS65.
  
  
  CONCLUSIONS
  AIMS65 score is a good predictor of mortality, and is useful for predicting the need for transfusion of more than 2 globular packages. However it is not a good predictor for recurrence of bleeding, or hospital stay.
authors.affiliation: Hospital Nacional Cayetano Heredia. Lima, Perú.
authors.forename: Víctor
authors.initials: V
authors.lastname: Aguilar Sánchez
authors.affiliation: Servicio de Gastroenterología del Hospital Nacional Cayetano Heredia. Lima, Perú; Universidad Peruana Cayetano Heredia. Lima, Perú.
authors.forename: Eduar Alban
authors.initials: EA
authors.lastname: Bravo Paredes
authors.affiliation: Servicio de Gastroenterología del Hospital Nacional Cayetano Heredia. Lima, Perú; Universidad Peruana Cayetano Heredia. Lima, Perú.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Pinto Valdivia
authors.affiliation: Servicio de Gastroenterología del Hospital Nacional Cayetano Heredia. Lima, Perú.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Valenzuela Granados
authors.affiliation: Hospital Nacional Cayetano Heredia. Lima, Perú.
authors.forename: Jorge Luis
authors.initials: JL
authors.lastname: Espinoza-Rios
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017707:Erythrocyte Transfusion / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy; D006779:Hospitals, Public; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010568:Peru; D011379:Prognosis; D011446:Prospective Studies; D012372:ROC Curve; D012008:Recurrence; D018570:Risk Assessment; D012720:Severity of Illness Index