Harki et al reported a score for diagnosing chronic mesenteric ischemia in a patient with abdominal pain. The authors are from Erasmus MC University Medical Center Rotterdam and Medisch Spectrum Twente in The Netherlands.
Patient selection: abdominal pain with suspicion of chronic gastrointestinal ischemia
Parameters:
(1) sex
(2) weight loss
(3) cardiovascular disease
(4) celiac artery stenosis in percent
(5) superior mesenteric artery stenosis in percent
Parameter
Finding
Points
sex
male
0
female
1
weight loss
no
0
yes
1
cardiovascular disease
no
0
yes
1
celiac artery stenosis
< 50%
0
50 to 70%
1
> 70%
4
superior mesenteric artery stenosis
< 50%
0
50 to 70%
1
> 70%
3
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
Total Score
Risk Group
CMI Risk
0 to 2 points
low
21%
3 to 6 points
intermediate
46%
7 to 10 points
high
79%
Performance:
• The area under the ROC curve is 0.79.
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