Majare-Berggren and Olsson reported a modified scorecard for a patient with an acute type A aortic dissection. This is intended to improve upon the Leipzig-Halifax scorecard of Leontyev et al. The authors are from the Karolinska Institute and Karolinska University in Stockholm.
Patient selection: acute type a aortic dissection
Parameters:
(1) critical preoperative state
(2) Penn class
(3) coronary artery disease
Parameter
Finding
Points
critical preoperative status
no
0
yes
10
Penn class
class a
0
other class
10
coronary artery disease
no
0
yes
5
total score =
= SUM(points for the 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 25
Score
Risk Category
In-hospital Mortality
0 or 5
low
11.5%
10 or 15
medium
23%
20 or 25
high
43%
Performance:
• The area under the ROC curve is 0.66 (vs 0.61 for Leipzig-Halifax scorecard).
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