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PALSUSE Score of Martinez-Selles for In-Hospital Mortality Following Surgery for Infective Endocarditis

Description

Martinez-Selles developed the PALSUSE score for evaluating a patient undergoing surgery for infective endocarditis. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Spain.


Patient selection: surgery for infective endocarditis

 

Outcome: in-hospital mortality

 

Parameters for the PALSUSE acronymn:

(1) prosthetic valve endocrditis (P)

(2) age in years (A)

(3) large intracardiac destruction (L)

(4) Staphylococcus species (S)

(5) urgent surgery (U)

(6) sex (S)

(7) EuroSCORE (E)

 

Parameter

Finding

Points

prosthetic valve endocarditis

no

0

 

yes

1

age in years

< 70 years

0

 

>= 70 years

1

large intracardiac destruction

no

0

 

yes

1

Staphylococcus species

no

0

 

yes

1

urgent surgery

no

0

 

yes

1

sex

male

0

 

female

1

EuroSCORE

< 10

0

 

>= 10

1

 

total score =

= SUM(points for all 7 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 7

• The higher the score the greater the in-hospital mortality.

 

Score

In-Hospital Mortality

0

0%

1

10%

2

15%

3

31%

4 to 7

45%

 

Performance:

• The area under the ROC curve as 0.84.


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