Table 1 Components of the AIMS65, full and pre-endoscopic Rockall, and Glasgow-Blatchford scoring system
AIMS65 score | Score | Rockall score | Score |
Albumin < 3.0 mg/dL | 1 | Age | |
INR > 1.5 | 1 | < 60 yrs | 0 |
Altered mental status, GCS < 14 | 1 | 60–79 yrs | 1 |
Systolic BP < 90 mmHg | 1 | ≥ 80 yrs | 2 |
Age > 65 yrs | 1 | Shock | |
Maximum score | 5 | No shock | 0 |
Pre-endoscopic Rockall Score | Pulse > 100 bpm, Systolic BP > 100 mmHg | 1 | |
Age | Systolic BP < 100 mmHg | 2 | |
< 60 yrs | 0 | Comorbidity | |
60–79 yrs | 1 | No major comorbidity | 0 |
> 80 yrs | 2 | CHF, IHD, or major comorbidity | 2 |
Shock | Renal failure, liver failure, metastatic cancer | 3 | |
No shock | 0 | Diagnosis | |
Pulse > 100, Systolic BP > 100 mmHg | 1 | Mallory-Weiss tear or no stigmata/lesion | 0 |
Systolic BP < 100 mmHg | 2 | All other diagnoses | 1 |
Comorbidity | GI malignancy | 2 | |
No major | 0 | Evidence of bleeding | |
CHF, IHD, or major comorbidity | 2 | No stigmata or dark spot on ulcer | 0 |
Renal failure, liver failure, metastatic cancer | 3 | Blood in UGI tract, adherent clot, visible/spurting vessel | 2 |
Maximum score | 7 | Maximum score | 11 |
Glasgow-Blatchford score | |||
Blood urea, mmol/L | Systolic BP, mm Hg | ||
6.5–8 | 2 | 100–109 | 1 |
8–10 | 3 | 90–99 | 2 |
10–25 | 4 | < 90 | 3 |
> 25 | 6 | Other risk factors | |
Hemoglobin, g/dL, Men | Pulse (≥100/bpm) | 1 | |
12- < 13 | 1 | Melena | 1 |
10- < 12 | 3 | Syncope | 1 |
< 10 | 6 | Liver disease | 2 |
Hemoglobin, g/dL, Women | Heart failure | 2 | |
10- < 12 | 1 | Maximum score | 23 |
< 10 | 6 | ||