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❤️ ACEF Score (Cardiac Surgery Risk)

UseWhen to use: quick preoperative stratification when EuroSCORE/STS inputs are incomplete.

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StrataHigher ACEF associates with higher operative mortality in derivation cohorts.

LimitsWhen not to use: replacing STS/EuroSCORE II for formal consent math. · Pitfall: EF from old echo only. · Not a sole go/no-go.

SourceACEF score (Ranucci) age/ejection fraction/creatinine

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

Three inputs.

When to use

When to use: quick preoperative stratification when EuroSCORE/STS inputs are incomplete.

How it works

ACEF = Age/EF(%) + 1 if creatinine >2.0 mg/dL.

Key points

  • Three inputs.
  • Age/EF core.
  • Next: EuroSCORE II / STS.

References

  • ACEF score (Ranucci) age/ejection fraction/creatinine

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Age72 years
LVEF50 %
Creatinine >2.0 mg/dLNo (0)

→ACEF1.44

  • Age/EF：1.44
  • Cr add-on：0
  • Cue：1.0–<1.5 — intermediate
Age72 years
LVEF50 %
Creatinine >2.0 mg/dLYes (+1)

→ACEF2.44

  • Age/EF：1.44
  • Cr add-on：1
  • Cue：≥1.5 — higher ACEF band
Verification & sources · governance
FAQ

Frequently asked questions

Does ACEF Score (Cardiac Surgery Risk) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is ACEF Score (Cardiac Surgery Risk) calculated in practice? Can you show a worked example?
Inputs: Age 72 years, LVEF 50 %, Creatinine >2.0 mg/dL No (0) → Result: ACEF 1.44（Age/EF: 1.44, Cr add-on: 0, Cue: 1.0–<1.5 — intermediate） Inputs: Age 72 years, LVEF 50 %, Creatinine >2.0 mg/dL Yes (+1) → Result: ACEF 2.44（Age/EF: 1.44, Cr add-on: 1, Cue: ≥1.5 — higher ACEF band）
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