The Papworth Bleeding Risk Score for Predicting Excessive Bleeding Following Cardiac Surgery

Description

Vuylsteke et al developed a score that can help to identify cardiac surgery patients who may have severe postoperative bleeding. A patient at risk for bleeding may benefit from more aggressive management. The authors are from Papworth Hospital in Cambridge, England.

Patient Selection: cardiac surgery

Outcome:

(1) blood loss > 2 mL per kg per hour after surgery

(2) (death, return to OR, transfusion of FFP/platelets/cryoprecipitate) OR (3 hours in ICU)

Parameters:

(1) timing of surgery

(2) surgery type

(3) aortic valve disease

(4) body mass index (BMI)

(5) age in years

Parameter	Finding	Points
timing of surgery	elective	0
	urgent or emergency	1
surgery type	CABG	0
	single valve	0
	other	1
aortic valve disease	none	0
	stenosis, regurgitation, both	1
BMI	>= 25 kg per square meter	0
	< 25 kg per square meter	1
age	< 75 years of age	0
	>= 75 years of age	1

total score =

= SUM(points for all 5 parameters)

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the greater the risk of severe bleeding.

Total Score	Risk Group
0	low
1 or 2	intermediate
3, 4 or 5	high

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Description

Specialty

ICD-10