Composite Renal Outcome* Risk Calculator for Adult Heart Transplant Alone Patients |
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Age: |
|
(years) |
Height: |
|
(cm) /
(inch) |
Sex: |
|
Male
Female
|
Weight: |
|
(kg) /
(lbs)
|
Race: |
|
White
Black
Hispanic
Asian
Others
|
BMI: |
|
kg/m² |
Current serum creatinine: |
|
(mg/dl) |
Diabetes status: |
|
No diabetes
Type I
Type II |
Current eGFR:§ |
|
ml/min/1.73 m² |
Pulmonary artery
mean pressure: |
|
mmHg |
Current dialysis status: |
|
Yes
No |
Pulmonary artery
wedge pressure |
|
mmHg |
Previous serum creatinine:
(within last 3 months) |
|
(mg/dl) |
Cardiac index: |
|
(L/m²) |
Previous eGFR:§
|
|
ml/min/1.73 m² |
Ventricular assist
device type: |
|
No VAD
LVAD
RVAD/BiVAD/TAH
|
Previous dialysis status: (within last 3 months) |
|
Yes
No |
Functional status category: (based on Karnofsky score) |
|
Mild Impairment (80-100%)
Moderate Impairment (50-70%)
Severe Impairment(0-40%)
|
eGFR ratio
(current eGFR/previous eGFR)
|
|
|
UNOS Region:‡ |
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| This calculator uses a random forest classifier and correctly classifies patients at risk of developing composite renal outcome(CRO) within first year of heart transplantation with an AUC of 70%, sensitivity of 80%, specificity of 46%, negative predictive value of 98%, and positive predictive value of 8%.
*Composite renal outcome (CRO) defined as dependence on chronic dialysis, eGFR < 20 ml/min/1.73 m² or received a kidney transplantation within first year of transplant among adult heart transplant alone recipients.
§Default eGFR value is 10 ml/min/1.73 m² if on dialysis
‡https://unos.org/community/regions/
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