Meyre et al reported the Admit-AF score for identifying a patient with atrial fibrillation who will be hospitalized. The authors are from University of Basel, University of Zurich, University of Bern, McMaster Uiversity and affiliated hospitals.
Patient selection: atrial fibrillation
Parameters:
(1) age in years
(2) history of previous pulmonary vein isolation (PVI)
(3) history of hypertension
(4) history of diabetes
(5) history of coronary heart disease
(6) prior stroke or TIA
(7) history of heart failure
(8) history of peripheral artery disease
(9) history of cancer
(10) history of renal failure
(11) history of previous falls
Parameter
Finding
Points
age in years
< 65 years
0
65 to 74 years
1
75 to 79 years
3
80 to 84 years
4
>= 85 years
6
previous pulmonary isolation
0
-3
hypertension
no
0
yes
2
diabetes
no
0
yes
3
coronary heart disease
no
0
yes
2
stroke or TIA
no
0
yes
2
peripheral artery disease
no
0
yes
3
history of cancer
no
0
yes
3
history of renal failure
no
0
yes
2
previous falls
no
0
yes
4
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: -3
• maximum score: 33
Score
Risk of Hospital Admission
-3 to 2
12-18% (15%)
3 to 5
18.1 to 20% (19%)
6 ti 8
20.1 to 25% (22%)
9 to 11
25.1 to 37% (31%)
>= 12
> 37%
Performance:
• The area under the ROC curve is 0.64.
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