ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED

Objective: To determine the frequency of mortality in upper gastrointestinal bleed patients having AIMS65 score>3. Study Design: Descriptive case series study. Place and Duration of Study: Department of Accident and Emergency and the Department of Medicine,Combined Military Hospital Quetta,...

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Autores principales:	Raja Jibran Akbar, Muhammad Ali Yousaf, Wajjiha Waheed, Manzoor Qadir, Sajid Ali, Hammad Javaid
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	upper gastrointestinal bleed portal hypertension international normalized ratio duodenal ulcer Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ffefb6c56a5149a1839ba22c347c449a
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spelling	oai:doaj.org-article:ffefb6c56a5149a1839ba22c347c449a2021-11-12T06:02:50ZROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED0030-96482411-8842https://doaj.org/article/ffefb6c56a5149a1839ba22c347c449a2019-04-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2731/2139https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the frequency of mortality in upper gastrointestinal bleed patients having AIMS65 score>3. Study Design: Descriptive case series study. Place and Duration of Study: Department of Accident and Emergency and the Department of Medicine,Combined Military Hospital Quetta, from Sep 2015 to Sep 2016. Material and Methods: All patients having AIMS65 score>3 with UGIB, defined by the presence of hematemesis, melena or hematochezia, and/or a positive N/G tube aspiration for coffee ground, black or bloody contents were enrolled. Information on clinical factors was collected by taking a history and conducting an examination. Blood pressure was recorded manually by mercury sphygmomanometer. Blood samples of patients were collected for serum Albumin and international normalized ratio (INR). Laboratory investigations were sent to hospital laboratory which was headed by classified pathologist. AIMS65 mortality score of UGIB was calculated. Each risk factor (variable) carries one point. Thirty days mortality was calculated in patients with AIMS65 score>3. If the patients had been discharged before the time then outcome was determined through telephone communication. Results: Mean age of the patients was 57.69 ± 16.68 years. There were 51 (32.7%) females and 105 (67.3%) males. Alteration in mental status was observed in 131 (84%) patients. Mortality was observed in 19 (12.2%) patients. Conclusion: The mortality from upper gastrointestinal bleed increased with increasing AIMS score.Raja Jibran AkbarMuhammad Ali YousafWajjiha WaheedManzoor QadirSajid AliHammad JavaidArmy Medical College Rawalpindiarticleupper gastrointestinal bleedportal hypertensioninternational normalized ratioduodenal ulcerMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 2, Pp 245-249 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	upper gastrointestinal bleed portal hypertension international normalized ratio duodenal ulcer Medicine R Medicine (General) R5-920
spellingShingle	upper gastrointestinal bleed portal hypertension international normalized ratio duodenal ulcer Medicine R Medicine (General) R5-920 Raja Jibran Akbar Muhammad Ali Yousaf Wajjiha Waheed Manzoor Qadir Sajid Ali Hammad Javaid ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED
description	Objective: To determine the frequency of mortality in upper gastrointestinal bleed patients having AIMS65 score>3. Study Design: Descriptive case series study. Place and Duration of Study: Department of Accident and Emergency and the Department of Medicine,Combined Military Hospital Quetta, from Sep 2015 to Sep 2016. Material and Methods: All patients having AIMS65 score>3 with UGIB, defined by the presence of hematemesis, melena or hematochezia, and/or a positive N/G tube aspiration for coffee ground, black or bloody contents were enrolled. Information on clinical factors was collected by taking a history and conducting an examination. Blood pressure was recorded manually by mercury sphygmomanometer. Blood samples of patients were collected for serum Albumin and international normalized ratio (INR). Laboratory investigations were sent to hospital laboratory which was headed by classified pathologist. AIMS65 mortality score of UGIB was calculated. Each risk factor (variable) carries one point. Thirty days mortality was calculated in patients with AIMS65 score>3. If the patients had been discharged before the time then outcome was determined through telephone communication. Results: Mean age of the patients was 57.69 ± 16.68 years. There were 51 (32.7%) females and 105 (67.3%) males. Alteration in mental status was observed in 131 (84%) patients. Mortality was observed in 19 (12.2%) patients. Conclusion: The mortality from upper gastrointestinal bleed increased with increasing AIMS score.
format	article
author	Raja Jibran Akbar Muhammad Ali Yousaf Wajjiha Waheed Manzoor Qadir Sajid Ali Hammad Javaid
author_facet	Raja Jibran Akbar Muhammad Ali Yousaf Wajjiha Waheed Manzoor Qadir Sajid Ali Hammad Javaid
author_sort	Raja Jibran Akbar
title	ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED
title_short	ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED
title_full	ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED
title_fullStr	ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED
title_full_unstemmed	ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED
title_sort	role of aims65 score in determining frequency of mortality in patients with upper gastrointestinal bleed
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/ffefb6c56a5149a1839ba22c347c449a
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ROLE OF AIMS65 SCORE IN DETERMINING FREQUENCY OF MORTALITY IN PATIENTS WITH UPPER GASTROINTESTINAL BLEED

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