Aortic Dissection Detection Risk Score (ADD-RS)

Aortic Dissection Detection Risk Score (2010 AHA/ACC): one point each for high-risk predisposing conditions, pain features, and exam findings.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

High-risk predisposing conditions
Yes
High-risk pain features
Yes

Result: ADD-RS 2/3: high risk of acute aortic syndrome.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Score 0-3
three categories (predisposing conditions, pain features, exam findings); each scores 1 if any feature within it is present. 0 low, 1 intermediate, >= 2 high risk.
D-dimer
the optional D-dimer is a pathway note only: in the ADD-RS <= 1 group a D-dimer < 500 ng/mL is the published rule-out adjunct; ADD-RS >= 2 goes directly to imaging.

What you enter

  • High-risk predisposing conditions
  • High-risk pain features
  • High-risk exam features
  • D-dimer (optional)
How this is calculated

Rogers AM, Hermann LK, Booher AM, et al. Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation. Circulation. 2011;123(20):2213-2218. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.