Evidence map›Paper›PMID 31349816›Full record

ArticleBMC gastroenterology2019

AIMS65 scoring system is comparable to Glasgow-Blatchford score or Rockall score for prediction of clinical outcomes for non-variceal upper gastrointestinal bleeding.

Min Seong Kim, Jeongmin Choi, Won Chang Shin

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05876741 (Validation of Prognostic Accuracy of ABC), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05876741 unknown statusnot on this mapstarted 2023, after this paper: background citation

Validation of Prognostic Accuracy of ABC ( Age, Blood Urea Nitrogen , Co-morbidities ) and Horibe Pre-endoscopy Scoring Systems in Patients With Upper Gastrointestinal Bleeding in Sohag University Hospital .

Typeobservational_patient_registrySponsorSohag UniversityRan2023 to 2024Enrolled100ConditionsUpper GI BleedingArmshistory taking , vital signs and labaratory investigations
3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

  1. Trial
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  5. Comprehensive review on the current management of upper-GI bleed.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Comparison of risk assessment scores of upper gastrointestinal bleeding: Proposal for a simplified score.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  11. Article
  12. Article
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  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Min Seong KimDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, 101, Daehak-Ro, Jongno-gu, Seoul, 03080, South Korea.
Jeongmin ChoiDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul, 01757, South Korea. doct00@hanmail.net.ORCID http://orcid.org/0000-0001-6976-9887
Won Chang ShinDepartment of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul, 01757, South Korea.

Funding

Inje University 2018 research grant
6 · The paper itself

Abstract

backgroundRisk stratification for patients with nonvariceal upper gastrointestinal (NVUGI) bleeding is crucial for successful prognosis and treatment. Recently, the AIMS65 score has been used to predict mortality risk and rebleeding. The purpose of this study was to compare the performance of the AIMS65 score with the Glasgow-Blatchford score (GBS), Rockall score, and pre-endoscopic Rockall score in Korea.

methodsWe retrospectively studied 512 patients with NVUGI bleeding who were treated at a university hospital between 2013 and 2016. The AIMS65, GBS, Rockall score, and pre-endoscopic Rockall score were used to stratify patients based on their bleeding risk. The primary outcome was in-hospital mortality. The secondary outcomes were composite clinical outcomes of mortality, rebleeding, and intensive care unit (ICU) admission. Each scoring system was compared using the receiver-operating curve (ROC).

resultsA total of 17 patients (3.3%) died and rebleeding developed in 65 patients (12.7%). Eighty-six patients (16.8%) required ICU admission. The AIMS65 (area under the curve (AUC) 0.84, 95% confidence interval, 0.81-0.88)) seemed to be superior to the GBS (AUC 0.72, 0.68-0.76), the Rockall score (AUC 0.75, 0.71-0.79), or the pre-endoscopic Rockall score (AUC 0.74, 0.70-0.78) in predicting in-hospital mortality, but there was not a statistically significant difference between the groups (P = 0.07). The AUC value of the AIMS65 was not significantly different from the other scoring systems in prediction of rebleeding, endoscopic intervention, or ICU admission.

conclusionsThe AIMS65 score in NVUGI bleeding patients was comparable to the GBS or Rockall scoring systems when predicting the mortality, rebleeding, or ICU admission. Because AIMS65 is a much easier, readily calculated scoring system compared to the others, we would recommend using the AIMS65 in daily practice.

Indexed as

Upper Gastrointestinal TractAgedAged, 80 and overEsophageal and Gastric VaricesFemaleGastrointestinal HemorrhageHospital MortalityHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk AssessmentSeverity of Illness IndexTreatment OutcomeAIMS65 scoreGastrointestinal hemorrhageGlasgow-Blatchford scoreRockall scoreStomach

Identifiers

PMID31349816
PMCPMC6660932

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.