Description

Vitrano et al reported three scores for evaluating a patient with a thalassemia syndrome. One score evaluates a patient with a non-transfusion-dependent phenotype who has not been transfused. The authors are from multiple institutions in Italy, Iran, Egypt, Pakistan, Oman, South Africa and Saudi Arabia.


Patient selection: non-transfusion-dependent thalassemia, non-transfused

 

Outcome: one or more complications

 

Parameters:

(1) age in years

(2) serum ferritin in ng/mL

(3) left ventricular ejection fraction (LVEF) in percent (from 0 to 100)

 

Parameter

Points

age in years

0.057 * (age)

serum ferritin

0.002 * (ferritin)

LVEF

-0.074 * (LVEF)

 

risk score =

= SUM(points for all of the parameters) + 2.177

 

Risk Score

Risk Group

< 0.18

low

0.18 to 0.39

intermediate

0.40 to 0.92

high

>= 0.83

very high

 

Performance:

The area under the ROC curve is 0.80.


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