Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
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    Patent Pending

    CART (Cardiac Arrest Risk Triage) Score

    Predicts risk of in-hospital cardiac arrest.
    Favorite
    Pearls/Pitfalls
    Why Use
    • A systematic review of early warning system (EWS) scores, including CART, concluded that such scores perform well to predict cardiac arrest but that impact on outcomes and resource utilization is still uncertain, and current evidence is insufficient (Smith 2014).
    • Requires accurate respiratory rate.
    • Predicting deterioration in ward patients may be difficult. Validated risk scores such as CART may help.
    • Outperformed MEWS at predicting cardiac arrest in one study (AUROC 0.84 vs 0.78) (Churpek 2013).
    <21
    0
    21-23
    +8
    24-25
    +12
    26-29
    +15
    >29
    +22
    <110
    0
    110-139
    +4
    >139
    +13
    >49
    0
    40-49
    +4
    35-39
    +6
    <35
    +13
    <55
    0
    55-69
    +4
    >69
    +9

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    Patients with high CART Scores may benefit from escalation of care. Use clinical judgment in addition to risk stratification scores to make decisions related to disposition.

    About the Creator
    Dr. Matthew M. Churpek
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    Dr. Dana Edelson
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