Viabilidad del score AIMS65 en la predicción del tipo de várices en pacientes con cirrosis hepática y hemorragia digestiva alta del Hospital Teodoro Maldonado Carbo, periodo 2022 – 2023.

Abstract

Introduction: Gastrointestinal bleeding is one of the most common complications of portal hypertension in cirrhotic patients. Identifying the type of varices is essential for proper treatment, and for this, endoscopy is necessary. However, as a first step, it is important to assess the risk in these patients using risk scores. In recent years, the AIMS65 score has been widely used and has shown a high rate of effectiveness in determining in-hospital mortality. Objective: To assess the feasibility of the AIMS65 score in predicting the type of varices in patients with liver cirrhosis and upper gastrointestinal bleeding at Teodoro Maldonado Carbo Hospital, for the period 2022– 2023. Methodology: This is a descriptive, analytical, retrospective, cross-sectional, and correlational study. Results: Males are more likely to present variceal gastrointestinal bleeding (59.2%) with a mean age of 61 years ± 9.8. The most frequent type of varices were esophageal (52.4%), and the need for transfusion was observed in 71.4% of cases. Mortality occurred in 38.5% of patients, and an AIMS65 score between 4 and 5 was associated with a higher risk of mortality (p = 0.0002). Conclusion and recommendation: The AIMS65 Score isn’t considered a good predictor in-hospital death. Therefore, it is recommended the use in those patients admitted with digestive bleeding so, it has demonstrated a high prediction rate for mortality not only those patients with visceral digestive bleeding but also not variceal.