Clinical Application Of AIMS65 And GBS Score In Elderly Patients With ANVUGIB

Objective:To compare the clinical value of AIMS65 and GBS scoring system in elderly ANVUGIB patients,and to explore the risk factors affecting the prognosis of ANVUGIB patients.Method:In this study,180 elderly ANAUGIB patients who met the inclusion criteria in the Department of Gastroenterology,affiliated Hospital of Chifeng University from 2019.01 to 2021.12 were enrolled.Univariate analysis was used to analyze the risk factors of rebleeding,endoscopic treatment and blood transfusion in elderly ANVUGIB patients,and the independent risk factors were analyzed by Logistic regression.AIMS65 and GBS scoring system were used to grade the risk degree of elderly ANVUGIB patients,and to evaluate the prediction of rebleeding,endoscopic treatment,blood transfusion and length of stay in hospital.The AUROC was calculated by drawing the ROC to compare the clinical value of the two scores.Resulte:Among the 180 elderly ANVUGIB patients,(1)68 females(34.4%)and 118 males(65.6%),the average age was 69.32 ±6.38 years old,151Han(83.9%),and 86(48.3%)people taking NSAIDs;The main causes were gastric ulcer 71(39.4%),and duodenum ulcer 46(22.8%),gastric cancer 24(13.3%),and acute gastric mucosal lesions 22(12.2%);(2)Logistic regression analysis showed that blood transfusion was a risk factor for rebleeding(OR=3.516),INR was a risk factor for endoscopic(OR=499.863),INR and Hb were risk factors for blood transfusion(OR = 90.688 and0.947,);(3)AIMS65 and GBS score system were related to the need for blood transfusion treatment;(4)the AUROC of AIMS65 and GBS score system for predicting the need for blood transfusion treatment was 0.636 and 0.708.When the score was 1.5 and 6.5,the prediction accuracy was the highest,and the Jordan index was 0.233 and 0.348.(5)compared with the two scoring systems,the GBS scoring system was better than the AIMS65 scoring system in predicting the need for blood transfusion treatment,and there was no significant difference.Conclusion: Among the elderly patients with ANVUGIB,(1)more male patients than females patients,and the elderly male patients have a high incidence of ANVUGIB;(2)gastric ulcer and duodenum ulcer is the main cause,followed by gastric cancer and acute gastric mucosal lesions;(3)excessive blood transfusion is a risk factor for rebleeding,INR is a risk factor for endoscopic therapy,Hb and INR are risk factors for blood transfusion;(4)the AIMS65 score system can better predict whether blood transfusion is needed during hospitalization,and when it is 1.5,the prediction accuracy is the highest.