Risk Score of DeCarlo at el for Predicting the Abdominal Compartment Syndrome After Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm

Description

DeCarlo et al reported a score for predicting the risk of the abdominal compartment syndrome after endovascular repair of a ruptured abdominal aortic aneurysm. This can help to identify a patient who may require more aggressive management. The authors are from Massachusetts General Hospital and University of Massachusetts.

Patient selection: endovascular repair of a ruptured aortic aneurysm

Parameters:

(1) transfer from outside hospital

(2) serum creatinine in mg/dL

(3) systolic blood pressure in mm Hg

(4) mental status

(5) liters of intraoperative crystalloid

(6) units of PRBCs transfused intraoperatively

Parameter	Finding	Points
transfer from outside	no	0
	yes	-1
serum creatinine	< 1.4 mg/dL	0
	>= 1.4 mg/dL	1
systolic blood pressure	> 85 mm Hg	0
	<= 85 mm Hg	2
mental status	normal	0
	altered	2
liters of crystalloid	< 3.0 liters	0
	>= 3.0 liters	2
units PRBCS	< 4	0
	>= 4	6

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: -1

• maximum score: 13

• A score >=8 has a sensitivity of 0.88 and specificity of 0.83 for the abdominal compartment syndrome.

Performance:

• The area under the ROC curve is 0.84 in the derivation and 0.87 in the validation cohorts.

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Risk Score of DeCarlo at el for Predicting the Abdominal Compartment Syndrome After Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm

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