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Aortic dissection detection risk score has high sensitivity with moderate inter‐rater reliability
Author(s) -
Rotella JoeAnthony,
Goel Vishal,
Chan Thomas,
Yeoh Michael,
Taylor David McD
Publication year - 2018
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.13152
Subject(s) - medicine , aortic dissection , kappa , inter rater reliability , reliability (semiconductor) , cohort , observational study , positive predicative value , predictive value of tests , retrospective cohort study , predictive value , aorta , psychology , developmental psychology , philosophy , linguistics , rating scale , power (physics) , physics , quantum mechanics
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.
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