Validación de la escala AIMS65 en el pronóstico de pacientes hospitalizados por hemorragia digestiva alta en el Hospital Teodoro Maldonado Carbo durante el periodo 2019-2020.

Abstract

Upper gastrointestinal bleeding (UGIB) is one of the main gastroenterological emergencies; represents an important cause of morbidity and mortality worldwide. Early risk stratification with validated scales such as the AIMS65 score has been shown to have a high predictive value for mortality and its application offers multiple benefits in clinical practice. Materials and methods: The study carried out was analytical, observational, cross-sectional and retrospective, applied to patients diagnosed with UHD at the Teodoro Maldonado Carbo Specialty Hospital located in Guayaquil, Ecuador. Results: 103 patients with HDA diagnosis (46%) had a score greater than or equal to 2 on the AIMS65 scale, considered pathological, 87.5%, that is, 40 of them died, with a p value of 0. 0001. Conclusions: According to the results obtained in the study, it can be concluded that the AIMS65 scale is a good predictor of mortality, being useful to stratify the risk according to the patient and their comorbidities.