Lara-Breitinger et al reported a risk score for a patient with tricuspid regurgitation. The authors are from Mayo Clinic.
Patient selection: tricuspid regurgitation
Parameters:
(1) age in years
(2) sex
(3) serum creatinine in mg/dL
(4) congestive heart failure
(5) lung disease
(6) serum AST in U/L
(7) heart rate in beats per minute
(8) severe tricuspid regurgitation
|
Parameter
|
Finding
|
Points
|
|
age in years
|
< 70 years
|
0
|
|
|
70 to 79 years
|
1
|
|
|
>= 80 years
|
2
|
|
sex
|
female
|
0
|
|
|
male
|
1
|
|
serum creatinine
|
< 2 mg/dL
|
0
|
|
|
>= 2 mg/dL
|
2
|
|
congestive heart failure
|
no
|
0
|
|
|
yes
|
2
|
|
lung disease
|
no
|
0
|
|
|
yes
|
2
|
|
serum AST
|
< 40 U/L
|
0
|
|
|
>= 40 U/L
|
1
|
|
heart rate
|
< 90 beats per minute
|
0
|
|
|
>= 90 beats per minute
|
1
|
|
severe tricuspid regurgitation
|
mild to moderate
|
0
|
|
|
severe
|
1
|
total score =
= SUM(points for all fo the parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
|
Total Score
|
Risk Category
|
|
0 to 3
|
low
|
|
4 to 6
|
intermediate
|
|
7 to 12
|
high
|
Performance:
• The area under the ROC curve is 0.67, which is suboptimal.
