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|Title:||Aortic dissection detection risk score has high sensitivity with moderate inter-rater reliability.|
|Authors:||Rotella, Joe-Anthony;Goel, Vishal;Chan, Thomas;Yeoh, Michael;Taylor, David McD|
|Affiliation:||Department of Emergency Medicine, Austin Health, Heidelberg, Victoria, Australia|
Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
|Citation:||Emergency medicine Australasia : EMA 2018; online first: 16 August|
|Abstract:||To retrospectively assess the accuracy and inter-rater reliability of the aortic dissection detection risk score (ADD-RS). Single-centre, observational, diagnostic accuracy study undertaken in a university-affiliated, tertiary hospital ED. 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). 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.|
|Appears in Collections:||Journal articles|
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