Duval et al developed a score for predicting peripheral artery disease (PAD) in an adult. This can help to identify a patient who may benefit from additional testing. The authors are from REACH Registry Investigators from multiple institutions in the United States and France.
Patient selection: adult >= 45 years of age
Parameters:
(1) age in years
(2) gender
(3) race or ethnicity
(4) diabetes
(5) body mass index (BMI) in kilograms per square meter
(6) hypertension
(7) current smoking
(8) coronary artery disease (CAD)
(9) cerebrovascular disease
(10) congestive heart disease (CHF)
|
Parameter |
Finding |
Points |
|
age in years |
45 to 49 years |
0 |
|
|
50 to 54 years |
1 |
|
|
55 to 59 years |
2 |
|
|
60 to 64 years |
3 |
|
|
65 to 69 years |
4 |
|
|
70 to 74 years |
5 |
|
|
75 to 79 years |
6 |
|
|
80 to 84 years |
7 |
|
|
85 to 89 years |
8 |
|
|
90 to 94 years |
9 |
|
|
95 to 99 years |
10 |
|
|
>= 100 years |
11 |
|
gender |
female |
0 |
|
|
male |
4 |
|
race or ethnicity |
Asian |
0 |
|
|
Hispanic |
15 |
|
|
Caucasian |
15 |
|
|
Black |
16 |
|
|
Other |
16 |
|
diabetes |
absent |
0 |
|
|
present |
4 |
|
BMI |
< 23 |
10 |
|
|
23 to 24 |
9 |
|
|
24.01 to 26 |
8 |
|
|
26.01 to 27 |
7 |
|
|
27.01 to 29 |
6 |
|
|
29.01 to 31 |
5 |
|
|
31.01 to 32 |
4 |
|
|
32.01 to 34 |
3 |
|
|
34.01 to 35 |
2 |
|
|
35.01 to 38 |
1 |
|
|
> 38 |
0 |
|
blood pressure |
normal |
0 |
|
|
high normal |
2 |
|
|
stage 1 hypertension |
3 |
|
|
stage 2 hypertension |
2 |
|
current smoking |
no |
0 |
|
|
yes |
13 |
|
coronary artery disease |
no |
0 |
|
|
yes |
2 |
|
cerebrovascular disease |
no |
0 |
|
|
yes |
3 |
|
CHF |
no |
0 |
|
|
yes |
9 |
total score =
= SUM(points for all 10 parameters)
Interpretation:
• minimum score: 0
• maximum score: 75
• The higher the score the greater the risk of PAD.
|
Total Score |
Specialty: Cardiology |
