ミシガンスコアと呼ばれる術前LabDataからの右心不全予測スコア
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2842901/
・カテコラミンの使用
・AST > 80
・Bill > 2.0
・Cr > 2.3
をそれぞれスコアリングして、5.5以上であれば、右心不全となる確率が7.6倍となる。
| PMC full text: |
J Am Coll Cardiol. Author manuscript; available in PMC 2010 Mar 21.
Published in final edited form as:
J Am Coll Cardiol. 2008 Jun 3; 51(22): 2163–2172.
doi: 10.1016/j.jacc.2008.03.009 |
Table 6
Right Ventricular Failure Risk Score and Likelihood of RV Failure by Score Strata
| Risk Score | n | RV Failure (n) | No RV Failure (n) | Likelihood Ratio (95% CI) |
|---|---|---|---|---|
| ≤3.0 | 142 | 29 | 113 | 0.49 (0.37–0.64) |
| 4.0–5.0 | 25 | 15 | 10 | 2.8 (1.4–5.9) |
| ≥5.5 | 30 | 24 | 6 | 7.6 (3.4–17.1) |
Risk Score is derived by summing points awarded for the presence of a vasopressor requirement (4 points), AST ≥80 IU/l (2 points), bilirubin ≥2.0 mg/dl (2.5 points), and creatinine ≥2.3 mg/dl (3 points).
