Maryam Razavi

maryam.razavi@cambio.se

Cambio CDS

To predict perioperative mortality in patients with active left-sided endocarditis.

Variables and assigned points: - Age, years: ≤51=0, 52-63=9, 64-72=13, ≥73=14 - Prosthetic endocarditis: No=0, Yes=6 - Virulent microorganism: No=0, Yes=9 - Septic shock: No=0, Yes=7 - Thrombocytopenia: No=0, Yes=7 - Acute renal insufficiency: No=0, Yes=5 - Cardiogenic shock: No=0, Yes=15 - Periannular complications: No=0, Yes=5 Formula: Addition of the selected points. Interpretation: RiskE Score 0 = 3.36% Predicted in-hospital postop mortality RiskE Score 5 = 5.64 % Predicted in-hospital postop mortality RiskE Score 6 = 6.22 % Predicted in-hospital postop mortality RiskE Score 7 = 6.42 % Predicted in-hospital postop mortality RiskE Score 9 = 7.96 % Predicted in-hospital postop mortality RiskE Score 10 = 9.33 % Predicted in-hospital postop mortality RiskE Score 11 = 10.24 % Predicted in-hospital postop mortality RiskE Score 12 = 10.56 % Predicted in-hospital postop mortality RiskE Score 13 = 11.61 % Predicted in-hospital postop mortality RiskE Score 14 = 12.61 % Predicted in-hospital postop mortality RiskE Score 15 = 13.87 % Predicted in-hospital postop mortality RiskE Score 16 = 14.93 % Predicted in-hospital postop mortality RiskE Score 17=16.87 % Predicted in-hospital postop mortality RiskE Score 18 = 18.32 % Predicted in-hospital postop mortality RiskE Score 19 = 19.5 % Predicted in-hospital postop mortality RiskE Score 20 = 21.26 % Predicted in-hospital postop mortality RiskE Score 21= 22.38 % Predicted in-hospital postop mortality RiskE Score 22 = 24.17 % Predicted in-hospital postop mortality RiskE Score 23 = 26.66 % Predicted in-hospital postop mortality RiskE Score 24=28.87 % Predicted in-hospital postop mortality RiskE Score 25 = 31.02 % Predicted in-hospital postop mortality RiskE Score 26= 32.8 % Predicted in-hospital postop mortality RiskE Score 27 = 35.13 % Predicted in-hospital postop mortality RiskE Score 28 = 36.79 % Predicted in-hospital postop mortality RiskE Score 29 = 39.59 % Predicted in-hospital postop mortality RiskE Score 30=42.17 %Predicted in-hospital postop mortality RiskE Score 31= 44.64 % Predicted in-hospital postop mortality RiskE Score 32 = 47.57 % Predicted in-hospital postop mortality RiskE Score 33= 49.73 % Predicted in-hospital postop mortality RiskE Score 34 = 52.17 % Predicted in-hospital postop mortality RiskE Score 35= 54.39 % Predicted in-hospital postop mortality RiskE Score 36=56.77 % Predicted in-hospital postop mortality RiskE Score 37=59.08 % Predicted in-hospital postop mortality RiskE Score 38= 61.96 % Predicted in-hospital postop mortality RiskE Score 39 = 64.82 % Predicted in-hospital postop mortality RiskE Score 40 =66.75 % Predicted in-hospital postop mortality RiskE Score 41 = 68.52 % Predicted in-hospital postop mortality RiskE Score 42=70.59 % Predicted in-hospital postop mortality RiskE Score 43=72.32 % Predicted in-hospital postop mortality RiskE Score 44=74.72 % Predicted in-hospital postop mortality RiskE Score 45= 76.65 % Predicted in-hospital postop mortality RiskE Score 46=78.61 % Predicted in-hospital postop mortality RiskE Score 47 = 80.09 % Predicted in-hospital postop mortality RiskE Score 48 = 81.39 % Predicted in-hospital postop mortality RiskE Score 49=82.97 % Predicted in-hospital postop mortality RiskE Score 50=83.98 % Predicted in-hospital postop mortality RiskE Score 51=85.74 % Predicted in-hospital postop mortality RiskE Score 52 = 86.67 % Predicted in-hospital postop mortality RiskE Score 53 = 88.05 % Predicted in-hospital postop mortality RiskE Score 54 = 89.08 % Predicted in-hospital postop mortality RiskE Score 55=90.09 % Predicted in-hospital postop mortality RiskE Score 56=90.76 % Predicted in-hospital postop mortality RiskE Score 57=91.18 % Predicted in-hospital postop mortality RiskE Score 58=92.28 % Predicted in-hospital postop mortality RiskE Score 59 = 92.93 % Predicted in-hospital postop mortality RiskE Score 60=94.13 % Predicted in-hospital postop mortality RiskE Score 61=94.71 %Predicted in-hospital postop mortality RiskE Score 62 = 94.71 % Predicted in-hospital postop mortality RiskE Score 63 = 95.11 % Predicted in-hospital postop mortality RiskE Score 67 = 96.94 % Predicted in-hospital postop mortality RiskE Score 68 = 97.01 % Predicted in-hospital postop mortality

Not to be used in isolated right-sided endocarditis, or after active infection has been treated and healed.

1. Olmos C, Vilacosta I, Habib G, Maroto L, Fernández C, López J, Sarriá C, Salaun E, Di Stefano S, Carnero M, Hubert S, Ferrera C, Tirado G, Freitas-Ferraz A, Sáez C, Cobiella J, Bustamante-Munguira J, Sánchez-Enrique C, García-Granja PE, Lavoute C, Obadia B, Vivas D, Gutiérrez Á, San Román JA. Risk score for cardiac surgery in active left-sided infective endocarditis. Heart. 2017 Sep;103(18):1435-1442. doi: 10.1136/heartjnl-2016-311093. Epub 2017 Apr 21. PMID: 28432158.

OBSERVATION.risk_e.v0, EVALUATION.risk_e_assessment.v0