Another Score to Predict 30-Day Mortality After an ED Visit for Atrial Fibrillation

Mortality can be predicted pretty accurately, but is this useful?

We previously reported on the Risk Estimator Decision Aid for Atrial Fibrillation (RED-AF) score for prediction of untoward outcomes within 30 days of an emergency department (ED) visit for atrial fibrillation (NEJM JW Emerg Med Nov 2014 and Ann Emerg Med 2015; 65:13). Researchers have now developed a new score, the TrOPs-BAC, to predict mortality in the 30 days after an ED visit for atrial fibrillation.

In a retrospective study of a derivation cohort of 2343 patients and a validation cohort of 1167 patients with atrial fibrillation at 24 EDs in Canada, investigators developed a 6-variable TrOPs-BAC score. The score assigns points as follows:

Positive troponin: 2 points
Another acute ED diagnosis: 1 point
Chronic obstructive pulmonary disease: …

Reviewing Author

Daniel J. Pallin, MD, MPH

Disclosures

Consultant/Advisory BoardPortola Pharmaceuticals, Inc.

Speaker’s BureauPeerView Institute for Medical Education

Grant/Research SupportAgency for Healthcare Research and Quality; CDC; NIH–National Center for Advancing Translational Sciences; NIH–National Institute of Allergy and Infectious Diseases (NIAID); NIH–NIAID–Antibacterial Resistance Leadership Group; Merck; Pfizer; Boehringer-Ingelheim; Shire; Portola Pharmaceuticals, Inc.; Novartis; bioMérieux; Siemens; Rapid Pathogen Screening; Magnolia; Stago; Innovative Biosensors; Molecular Detection, Inc.; Dyax Corp.; Trius Pharmaceuticals

Daniel J. Pallin, MD, MPH

Disclosures

Consultant/Advisory BoardPortola Pharmaceuticals, Inc.

Speaker’s BureauPeerView Institute for Medical Education

Another Score to Predict 30-Day Mortality After an ED Visit for Atrial Fibrillation

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Reviewing Author