Table 1.
Factors and scoring algorithms included in GBS, RS and AIMS65
Admission clinical factor | Parameter | Score | |
---|---|---|---|
GBS | BUN (mmol/L) | 6.5–7.9 | 2 |
8.0–9.9 | 3 | ||
10.0–24.9 | 4 | ||
≥ 25.0 | 6 | ||
Hemoglobin level (g/dL) | Male: ≥ 12 to < 13 | 1 | |
Female: ≥ 10 to < 12 | 1 | ||
Male: ≥ 10 to < 12 | 3 | ||
Male: < 10, female: < 10 | 6 | ||
SBP (mm Hg) | ≥ 100 to < 109 | 1 | |
≥ 90 to < 100 | 2 | ||
< 90 | 3 | ||
Other marker | HR ≥ 100 bpm | 1 | |
Melena | 1 | ||
Syncope | 2 | ||
Hepatic disease or cardiac failure | 2 | ||
RS | Age (yr) | < 60 | 0 |
60–79 | 1 | ||
≥ 80 | 2 | ||
Shock | HR > 100 bpm | 1 | |
SBP < 100 mmHg | 2 | ||
Comorbidity | IHD, CHF, any major comorbidity renal failure, liver failure | 2 | |
metastatic malignancy | 3 | ||
Endoscopic finding | Mallory-Weiss tear or no lesion | 0 | |
Peptic ulcer disease, erosive esophagitis | 1 | ||
Malignancy | 2 | ||
Stigmata of recent hemorrhage | Clean-based ulcer, flat pigmented spot | 0 | |
Blood in upper gastrointestinal tract, clot, visible vessel, bleeding | 2 | ||
AIMS65 | Albumin (g/dL) | < 3.0 | 1 |
INR | > 1.5 | 1 | |
Mental status | Altered | 1 | |
SBP (mm Hg) | ≤ 90 | 1 | |
Age (yr) | ≥ 65 | 1 |
GBS glasgow-blatchford score, BUN blood urea nitrogen level, SBP systolic blood pressure, HR heart rate, RS rockall risk score, IHD ischemic heart disease, CHF congestive heart failure, INR international normalized ratio, AIMS65 AIMS65 score