🩸 AIMS65 (Upper GI Bleed Mortality)
Predict in-hospital mortality in acute upper GI bleeding with AIMS65.
Clinical takeaway
Simple, uses routinely available data.
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When to use
Rapid mortality risk stratification in UGIB.
How it works
Albumin < 3, INR > 1.5, Altered mental status, SBP ≤ 90, age > 65 — each 1 point (0–5).
Key points
- Simple, uses routinely available data.
- Predicts mortality, not need for intervention.
- Use alongside the Glasgow-Blatchford score.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Albumin < 3.0 g/dL | No |
|---|---|
| INR > 1.5 | No |
| Altered mental status | No |
| Systolic BP ≤ 90 mmHg | No |
| Age > 65 | No |
→AIMS650/5
- Approx. in-hospital mortality：0.3%
- Note：Lower risk.
| Albumin < 3.0 g/dL | Yes (+1) |
|---|---|
| INR > 1.5 | Yes (+1) |
| Altered mental status | Yes (+1) |
| Systolic BP ≤ 90 mmHg | Yes (+1) |
| Age > 65 | Yes (+1) |
→AIMS655/5
- Approx. in-hospital mortality：25%
- Note：Higher risk — consider closer monitoring and early endoscopy.
Frequently asked questions
- What is AIMS65 (Upper GI Bleed Mortality)?
- Predict in-hospital mortality in acute upper GI bleeding with AIMS65.
- How is AIMS65 (Upper GI Bleed Mortality) calculated? What is the core formula?
- Albumin < 3, INR > 1.5, Altered mental status, SBP ≤ 90, age > 65 — each 1 point (0–5).
- When is AIMS65 (Upper GI Bleed Mortality) used?
- Rapid mortality risk stratification in UGIB.
- What are the key clinical points for AIMS65 (Upper GI Bleed Mortality)?
- Simple, uses routinely available data. Predicts mortality, not need for intervention. Use alongside the Glasgow-Blatchford score.
- What are the limits and cautions when using AIMS65 (Upper GI Bleed Mortality)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- How is AIMS65 (Upper GI Bleed Mortality) calculated in practice? Can you show a worked example?
- Inputs: Albumin < 3.0 g/dL No, INR > 1.5 No, Altered mental status No, Systolic BP ≤ 90 mmHg No, Age > 65 No → Result: AIMS65 0 /5（Approx. in-hospital mortality: 0.3%, Note: Lower risk.） Inputs: Albumin < 3.0 g/dL Yes (+1), INR > 1.5 Yes (+1), Altered mental status Yes (+1), Systolic BP ≤ 90 mmHg Yes (+1), Age > 65 Yes (+1) → Result: AIMS65 5 /5（Approx. in-hospital mortality: 25%, Note: Higher risk — consider closer monitoring and early endoscopy.）