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Score of Terlouw et al for Identifying a Patient at Risk for Chronic Mesenteric Ischemia (CMI)

Description

Terlouw et al reported a score for predicting chronic mesenteric ischemia (CMI) in a patient. A key metric is the mesenteric artery calcium score. The authors are from Erasmus MC University Medical Center and FranciscusGasthuisenVietland in Rotterdam, The Ntherlands.


 Patient selection: suspected chronic mesenteric ischemia (CMI)

 

Parameters:

(1) weight loss

(2) postprandial abdominal pain

(3) cardiovascular disease

(4) mesenteric artery calcium score (MACS)

 

Parameter

Finding

Points

weight loss

no

0

 

yes

3

postprandial abdominal pain

no

0

 

yes

2

cardiovascular disease

no

0

 

yes

1

mesenteric artery calcium score

< 29.7 (low)

0

 

29.7 to 422 (intermediate)

3

 

> 422 (high)

4

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 10

 

Total Score

Risk

CMI Risk

0 to 4

low

2.1%

5 to 10

high

39.1%

 

Performance:

• The area under the ROC curve is 0.87.


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