Are AIMS65 and glasgow-blatchford scores useful in predicting health costs in patients admitted to emergency department with acute upper gastrointestinal bleeding: a prospective and observational study

Abstract

Objective We aimed to investigate the use and superiority of AIMS65 (Albumin, INR, Alteration in mental status, Systolic blood pressure, age) and Glasgow-Blatchford scores in predicting hospital health costs in patients admitted to emergency department with upper gastrointestinal bleeding. Methods Patients above the age of 18 who were admitted to the Emergency Department of Umraniye Training and Research Hospital between 01.06.2018 and 31.05.2019, who were diagnosed with upper gastrointestinal bleeding were included in the study. Patients’ calculations of AIMS65 and Glasgow-Blatchford Bleeding scores (GBS) were recorded. Pearson’s Chi-square test was used and statistical significance was assessed. Results Out of 151 patients included in the study, 109 (72.2%) were male. Of the patients 2(1.3%) were discharged from the emergency department and 7 (4.6%) were exitus. According to AIMS65 risk scoring, costs of emergency department and non-emergency clinics and total clinical costs were higher in high risk group compared to the low risk group (p=0.007, p=0.007 and p=0.003 respectively). The costs of emergency department and non-emergency clinic and total costs were found statistically significantly different between GBS groups (p<0.001, p=0.019, and p=0.001 respectively). Conclusion AIMS65 risk score and GBS have been revealed to be useful in predicting the costs of emergency department and non-emergency clinics and total clinical costs for patients with upper gastrointestinal bleeding. However, the usefulness of GBS in predicting possible costs according to risk score of the patient could not be revealed.

Keywords

• Emergency department
• AIMS65
• Glasgow-Blatchford Bleeding score
• health cost

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