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Title: Aortic dissection detection risk score has high sensitivity with moderate inter-rater reliability.
Austin 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
Issue Date: 2018
Date: 2018-08-16
Publication information: Emergency Medicine Australasia : EMA 2018; 30(5): 720-721
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.
DOI: 10.1111/1742-6723.13152
ORCID: 0000-0003-2068-8757
Journal: Emergency Medicine Australasia : EMA
PubMed URL: 30113132
Type: Journal Article
Subjects: aortic dissection
emergency medicine
Appears in Collections:Journal articles

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