Kuijpers et al developed a score for predicting the risk of infective endocarditis in an adult with congenital heart disease (CHD). This can help to identify a patient who may benefit from more aggressive management. The authors are from Academic Medical Center Amsterdam, Netherlands Heart Institute, Catharina Hospital, Alkmaar Medical Center, Antonius Hospital, Rijnstate Hospital and Medical Sprectrum Twente in The Netherlands.
Patient selection: adult with congenital heart disease
Outcome: infective endocarditis
Parameters"
(1) baseline valve with prosthetic material
(2) total number of defects
(3) primary defect
(4) history of infective endocarditis
(5) gender
Parameter
Finding
Points
baseline valve with prosthetic material
no
0
yesd
3
number of defects
1
0
>=2 (multiple)
1
primary defect
pulmonary atresia with VSD
3
double-outlet RV
2
Tetralogy of Fallot
1
univentricular heart
1
left-sided lesions
1
other
0
history of endocarditis
no
0
yes
2
gender
male
1
female
0
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score the greater the ris of infective endocarditis.
Total Score
5-Year Risk
10-Year Risk
0
< 1%
< 1%
1
< 1%
1%
2
1%
1%
3
1%
1%
4
1%
3%
5
2%
3%
6
3%
5%
7
4%
7%
8
7%
12%
9 or 10
9%
15%
To read more or access our algorithms and calculators, please log in or register.
