🫀 Thakar Score (AKI Dialysis after Cardiac Surgery)
UseWhen to use: preoperative counseling before open-heart surgery.
Strata0–2 / 3–5 / 6–8 / ≥9 map to rising dialysis-ARF rates in derivation.
LimitsWhen not to use: non-cardiac major surgery alone. · Pitfall: wrong Cr units. · Not a sole cancel-surgery rule.
SourceThakar Cleveland Clinic ARF score after cardiac surgery (JASN 2005)
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
Max 17.
When to use
When to use: preoperative counseling before open-heart surgery.
How it works
Weighted sex/CHF/LVEF/IABP/COPD/DM/reop/emergency/surgery type/creatinine (0–17).
Key points
- Max 17.
- Cr and surgery weigh heavily.
- Next: nephroprotection plan.
References
- Thakar Cleveland Clinic ARF score after cardiac surgery (JASN 2005)
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.
| Female sex | No (0) |
|---|---|
| Congestive heart failure | No (0) |
| LVEF <35% | No (0) |
| Preoperative IABP | No (0) |
| COPD (medical therapy) | No (0) |
| Insulin-requiring diabetes | No (0) |
| Previous cardiac surgery | No (0) |
| Emergency surgery | No (0) |
| Surgery type | Valve only (+1) |
| Preoperative creatinine | 1.2–<2.1 mg/dL (+2) |
→Thakar3/17
- Risk band：3–5 — ~1.8%
| Female sex | No (0) |
|---|---|
| Congestive heart failure | No (0) |
| LVEF <35% | No (0) |
| Preoperative IABP | No (0) |
| COPD (medical therapy) | No (0) |
| Insulin-requiring diabetes | No (0) |
| Previous cardiac surgery | No (0) |
| Emergency surgery | No (0) |
| Surgery type | CABG only (0) |
| Preoperative creatinine | <1.2 mg/dL (0) |
→Thakar0/17
- Risk band：0–2 — ~0.4% dialysis ARF in derivation
Verification & sources · governance
FAQ
Frequently asked questions
- Does Thakar Score (AKI Dialysis after Cardiac Surgery) 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 Thakar Score (AKI Dialysis after Cardiac Surgery) calculated in practice? Can you show a worked example?
- Inputs: Female sex No (0), Congestive heart failure No (0), LVEF <35% No (0), Preoperative IABP No (0), COPD (medical therapy) No (0), Insulin-requiring diabetes No (0), Previous cardiac surgery No (0), Emergency surgery No (0)… → Result: Thakar 3 /17（Risk band: 3–5 — ~1.8%） Inputs: Female sex No (0), Congestive heart failure No (0), LVEF <35% No (0), Preoperative IABP No (0), COPD (medical therapy) No (0), Insulin-requiring diabetes No (0), Previous cardiac surgery No (0), Emergency surgery No (0)… → Result: Thakar 0 /17（Risk band: 0–2 — ~0.4% dialysis ARF in derivation）