Aortic dissection detection risk score has high sensitivity with moderate inter‐rater reliability. (16th August 2018)

• Record Type: Journal Article
• Authors: Rotella, Joe‐Anthony; Goel, Vishal; Chan, Thomas; Yeoh, Michael; Taylor, David McD
• Is Part Of: Emergency medicine Australasia. Volume 30:Number 5(2018)
• Page Start: 720
• Page End: 721
• Publication Date: 2018-08-16
• Subjects: aortic dissection -- emergency medicine -- evaluation -- risk; Emergency medicine -- Periodicals; Emergency medicine -- Australasia -- Periodicals; 616.025
• DOI: 10.1111/1742-6723.13152
• Languages: English
• ISSNs: 1742-6731

Abstract

Abstract: Objective: To retrospectively assess the accuracy and inter‐rater reliability of the aortic dissection detection risk score (ADD‐RS). Methods: Single‐centre, observational, diagnostic accuracy study undertaken in a university‐affiliated, tertiary hospital ED. Results: Two hundred patients were enrolled. Five patients were diagnosed with acute aortic dissection and had an elevated ADD‐RS >0. The ADD‐RS was 100% sensitive with a negative and positive predictive values of 100% (if ADD‐RS ≥1). Inter‐rater reliability was moderate (Kappa = 0.55). Conclusion: The ADD‐RS was highly sensitive in our cohort. Further work to evaluate the score prospectively and in combination with a D‐Dimer is required.