MARRIED-Cocaine Score for Predicting the Risk of Revisit to the Emergency Department by a Cocaine User

Description

Galicia et al developed a risk score for identifying a cocaine user in the Emergency Department (ED) who is likely to revisit an ED. This can help to identify a patient who may benefit from an intervention. The authors are from the Multicenter Assessment of the Revisit Risk in the Emergency Department (MARRIED) Research Group in Spain.

Patient selection: cocaine user in the Emergency Department

Outcome: revisit to the ED

Parameters:

(1) previous history of visit to the ED for drug consumption

(2) previous history of visit to the ED for alcohol intake

(3) need for emergency psychiatric evaluation during current ED visit

(4) time of ED visit during a weekday (from Monday 08:00 to Friday 16:00)

Parameter	Finding	Points
history of ED visit for drug use	no	0
	yes	210
history of ED visit for alcohol intake	no	0
	yes	90
emergency psychiatric evaluation	no	0
	yes	60
ED visit during a weekday	no	0
	yes	40

total score =

SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 400

• The higher the score the greater the risk of detecting the chances of an ED revisit.

Total Score	Risk
0 to 40	low
41 to 100	moderate
101 to 210	high
210 to 400	very high

Performance:

• The area under the ROC curve was 0.69.

To read more or access our algorithms and calculators, please log in or register.

MARRIED-Cocaine Score for Predicting the Risk of Revisit to the Emergency Department by a Cocaine User

Description

Specialty