Acute variceal bleeding (AVB) is a common medical emergency in patients with portal hypertension and carries a published inpatient mortality risk of 11-43%. It remains unclear whether measures of liver disease severity (liver risk) or upper gastrointestinal bleeding (UGIB) risk stratification scores offer the best predictive power in patients with AVB. AIMS65 is a risk stratification score validated to predict inpatient mortality. The AIMS65 score assigns 1 point for each of the following: albumin level < 30g/L, INR > 1.5, altered mental status, systolic blood pressure < 90mmHg and age > 65 years.