Risk of Dysphagia in Cardiac Surgery (RODICS) Score of Grimm et al

Description

Grimm et al reported the RODICS (Risk of Dysphagia in Cardiac Surgery) score to predict dysphagia following cardiac surgery. This can help to identify a patient who may benefit from a preventive strategy. The authors are from the Johns Hopkins Hospital.

Patient selection: adult undergoing cardiac surgery

Outcome: dysphagia

Parameters:

(1) sex

(2) body mass index (BMI) in kg per square meter

(3) chronic lung disease

(4) cerebrovascular disease

(5) ventricular assist device placement (VAD) or heart transplant

(6) hypothermic cardiac arrest

(7) duration of postoperative ventilation in hours

Parameters	Findings	Points
sex	female	0
	male	3
BMI	< 20	5.5
	>= 20	0
chronic lung disease	absent	0
	present	4.5
cerebrovascular disease	absent	0
	present	4
VAD placement or heart transplant	no	0
	yes	5.5
hypothermic cardiac arrest	no	0
	yes	8
postoperative ventilation	<= 24 hours	0
	> 24 hours	7.7

total score =

= SUM(points for all 7 parameters)

Interpretation:

• miinimum score: 0

• maximum score: 38.2

Total Score	Risk Group	Risk of Dysphagia
0 to 3	low	3%
4 to 9	intermediate	6.8%
> 9	high	21.6%

Performance:

• The area under the ROC curve is 0.75.

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Risk of Dysphagia in Cardiac Surgery (RODICS) Score of Grimm et al

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