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      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    RiskE Score for Cardiac Surgery in Active Infective Endocarditis

    Predicts perioperative mortality in patients with active left-sided endocarditis.
    Favorite
    When to Use
    Why Use

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

    Mortality in infective endocarditis is high (15-30%) and approximately half of all patients with active endocarditis will require surgery in the acute phase (Habib 2015). A validated risk stratification score such as RiskE may help inform the decision to operate, which is multifactorial.

    ≤51
    0
    52-63
    +9
    64-72
    +13
    ≥73
    +14
    No
    0
    Yes
    +6
    No
    0
    Yes
    +9
    No
    0
    Yes
    +7
    No
    0
    Yes
    +7
    No
    0
    Yes
    +5
    No
    0
    Yes
    +15
    No
    0
    Yes
    +5

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    A multidisciplinary approach including input from cardiology, imaging, cardiothoracic surgery, and infectious diseases, which incorporates patient goals of care, is warranted in deciding whether to operate or not.

    About the Creator
    Dr. Carmen Olmos