A Simple Risk Scoring Systems to evaluate the presence of aneurysm and one-year mortality in patients with abdominal aortic aneurysm using CHA2DS2-VASc and ATRIA

Abstract

OBJECTIVE:We aimed to demonstrate the clinical utility of CHA 2 DS 2 -VASc and anticoagulation and risk factors in atrial fibrillation risk scores in the assessment of one year mortality in patients with abdominal aortic aneurysm. METHODS:We designed a retrospective cohort study using data from Suleyman Demirel University Hospital for the diagnosis of abdominal aortic aneurysm. The study included 120 patients with abdominal aortic aneurysm who underwent aortic computed tomography.Patients were divided into two groups according to presence of abdominal aortic aneurysm and the development of mortality. Predictors of mortality were determined by multiple logistic regression analysis.RESULTS: Multivariate regression analysis showed that CHA 2 DS 2 -VASc score, advanced age, female gender and elevated white blood cell counts were independent predictors of abdominal aortic aneurysm development while CHA 2 DS 2 -VASc score and elevated glucose levels were independent predictors of one year mortality in patients with abdominal aortic aneurysm. The concordance statistics for anticoagulation and risk factors in atrial fibrillation risk Score and CHA 2 DS 2 -VASc risk score respectively were 0.96 and 0.97 and could significantly predict one year mortality in patients with abdominal aortic aneurysm (p<0.001, and p<0.001, respectively).CONCLUSIONS: CHA 2 DS 2 -VASc and anticoagulation and risk factors in atrial fibrillation risk scores are easily obtained in an emergency setting and can accurately predict one year mortality as a noninvasive follow-up in patients with abdominal aortic aneurysm. These simple scores could be used as a point of care decision aid to help the clinician in counseling patients presenting with abdominal aortic aneurysm and their families on treatment protocols.

Comparing two risk scores for predictive ability of contrast-induced nephropathy development in patients presenting with chronic coronary syndrome

“…These two risk scores mainly consist of patient-related risk factors. Since CCS patients were included in the present stu- Although these risk scores were designed primarily to predict thrombo-embolism in AF, they were used in different cardiac conditions regardless of being in AF rhythm [16,[31][32][33][34]. CHA 2 DS 2 -VASc was found to have effective discriminating power in determining CIN development in STEMI patients [35].…”

Predictors of mortality in patients with abdominal aortic aneurysm

“…Mortality was observed in 20 (33.3%) patients diagnosed with AAA as a result of one-year follow-up. In the multivariate analysis, in addition to a scoring system that was the subject of the study, and high blood glucose levels were determined as an independent predictors of mortality 1 . However, we could not obtain clear data on whether surgical or endovascular treatment was applied to patients with AAA.…”

“…In addition, approximately 70% of the patients included in the study had an AAA diameter of 50 mm and more 3 . In the study of Aksoy and Uysal, AAA diameters were given as 53.8±7.5 mm versus 53.2±6.8 in patients with a diagnosis of AAA with and without mortality, respectively, and the mortality rate was found to be 33.3% in one-year follow-up 1 . In a meta-analysis including 15,475 patients, the annual rupture rate was found to be a maximum of 8.2% in AAA patients with a diameter of 3-5.4 cm 4 .…”