r/Gastroenterology

Good afternoon everyone,

I am a PGY-1 and will be PGY-2 in July. I am very interested in doing fellowship in GI however I do not have any research. I am looking for a mentor or someone who is doing research so I can join.

Thank you!

GBS, Rockall, AIMS65

These are the three scoring systems. They are all validated, and used interchangeably in most departments I've worked in.
It took me longer than I would like to admit to figure out they're actually asking different questions.

So, I am trying to simplify it for my own department:

• GBS → pre-endoscopy, admission vs. discharge decision. GBS ≤1 = strong case for sending home or outpatient scope
• Rockall → post-endoscopy, rebleeding and mortality risk. Needs the endoscopic findings to be meaningful. Rockall ≤2 = safe to discharge after scoping. Not to use the pre-scope version alone
• AIMS65 → in-hospital mortality prediction, not triage. Albumin, INR, mental status, BP, age >65. Useful for deciding who needs ICU-level monitoring, not great just for admissions

From what I understand is that if we use GBS to triage, then scope, then Rockall to decide disposition is actually a logical sequential workflow. The problem is most places are just picking one score.

AIMS65 ≥2 in a patient already admitted probably warrants a more senior conversation about their care.

Is this a reasonable way to frame it, or am I oversimplifying the overlap between GBS and Rockall?