Key result
The aortic dissection detection risk score lacks validation in the Māori population, prompting recommendations for a low threshold for advanced imaging to exclude acute aortic syndrome.
Why the study?
New Zealand has a relatively high incidence of acute aortic syndrome attributed to the disproportionately high incidence among the indigenous Māori population, and the aortic dissection detection risk score has not been specifically evaluated in Māori.
Answers are grounded in this paper and cite their sources.
There is increasing evidence that New Zealand has a relatively high incidence of acute aortic syndrome (AAS), which has been attributed to the disproportionately high incidence of AAS among the indigenous Māori population. There is growing interest in the use of risk-stratification tools to help clinicians determine which patients with suspected AAS should proceed to advanced imaging. The aortic dissection detection risk score has been proposed as a novel tool for excluding AAS when coupled with a serum D-dimer <500 ng/mL. However, its use in Māori has not specifically been evaluated. A review of AAS in Māori is herein undertaken with a call made for further work to clarify the outcomes and incidences in Māori. Given that Māori ethnicity is a high-risk criterion for AAS, it is recommended that, until the rule-out test is validated in Māori, clinicians have a low threshold for excluding AAS with advanced imaging.
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Steve W. F. R. Waqanivavalagi (2023) conducted a review in Acute aortic syndrome. Aortic dissection detection risk score with D-dimer <500 ng/mL was evaluated. The aortic dissection detection risk score lacks validation in the Māori population, prompting recommendations for a low threshold for advanced imaging to exclude acute aortic syndrome.
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