Seese et al reported the Adult Congenital Heart Transplantation Risk Score. This can help to identify a patient who may require more aggressive management. The authors are from the University of Pittsburgh.
Patient selection: adult heart transplant recipient with congenital heart disease
Parameters:
(1) age in years
(2) dialysis dependent
(3) ventilator dependent
(4) serum total bilirubin in mg/dL
Parameter
Finding
Points
age in years
<= 30 years
0
> 30 years
2
dialysis dependent
no
0
yes
4
ventilator dependent
no
0
yes
4
serum total bilirubin
< 2.4 mg/dL
0
>= 2.4 mg/dL
3
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 13
• The higher the score the worse the overall survival.
Score
90-Day Survival
1-Year Survival
0
86.2%
83.4%
2 or 3
86.8%
83/5%
>= 4
77.3%
74%
To read more or access our algorithms and calculators, please log in or register.
