🫀 Aortic Dissection Detection Risk Score (ADD-RS)
UseDecide who needs D-dimer testing versus direct aortic imaging.
SourceNazerian P, et al (ADvISED). Circulation 2018
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
ADD-RS ≤ 1 plus negative D-dimer makes dissection unlikely.
When to use
Decide who needs D-dimer testing versus direct aortic imaging.
How it works
Three categories (predisposing conditions, pain features, exam findings); any feature in a category = 1 point. 0–3.
Key points
- ADD-RS ≤ 1 plus negative D-dimer makes dissection unlikely.
- ADD-RS ≥ 2 → proceed to CT angiography.
- Highly sensitive screening framework.
References
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.
| High-risk conditions (Marfan, family history, known aortic disease/valve, recent aortic manipulation) | None |
|---|---|
| High-risk pain (abrupt, severe, tearing/ripping) | None |
| High-risk exam (pulse deficit, focal neuro deficit + pain, new aortic murmur, hypotension/shock) | None |
→ADD-RS0/3
- Risk：Low risk
- Pathway：ADD-RS ≤ 1 with a negative D-dimer (< 500 ng/mL) makes acute aortic syndrome unlikely.
| High-risk conditions (Marfan, family history, known aortic disease/valve, recent aortic manipulation) | ≥ 1 present (+1) |
|---|---|
| High-risk pain (abrupt, severe, tearing/ripping) | ≥ 1 present (+1) |
| High-risk exam (pulse deficit, focal neuro deficit + pain, new aortic murmur, hypotension/shock) | ≥ 1 present (+1) |
→ADD-RS3/3
- Risk：High risk
- Pathway：ADD-RS ≥ 2 → proceed directly to definitive imaging (CT angiography).
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Aortic Dissection Detection Risk Score (ADD-RS)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Aortic Dissection Detection Risk Score (ADD-RS) 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 Aortic Dissection Detection Risk Score (ADD-RS) calculated in practice? Can you show a worked example?
- Inputs: High-risk conditions (Marfan, family history, known aortic disease/valve, recent aortic manipulation) None, High-risk pain (abrupt, severe, tearing/ripping) None, High-risk exam (pulse deficit, focal neuro deficit + pain, new aortic murmur, hypotension/shock) None → Result: ADD-RS 0 /3（Risk: Low risk, Pathway: ADD-RS ≤ 1 with a negative D-dimer (< 500 ng/mL) makes acute aortic syndrome unlikely.） Inputs: High-risk conditions (Marfan, family history, known aortic disease/valve, recent aortic manipulation) ≥ 1 present (+1), High-risk pain (abrupt, severe, tearing/ripping) ≥ 1 present (+1), High-risk exam (pulse deficit, focal neuro deficit + pain, new aortic murmur, hypotension/shock) ≥ 1 present (+1) → Result: ADD-RS 3 /3（Risk: High risk, Pathway: ADD-RS ≥ 2 → proceed directly to definitive imaging (CT angiography).）