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. 2021 Mar 26;42(15):1476–1485. doi: 10.1093/eurheartj/ehab059

Table 2.

Overview of the predictive performance of the six included and externally validated risk scores

Risk score characteristics
Validation
Study Outcome Timeframe (validated) Original c-statistic Normal eGFR
Mild CKD
Advanced CKD
C-statistic Obs. Pred. C-statistic Obs. Pred. C-statistic Obs. Pred.

AFI20

IS, TIA, SE NS (2.3 y) 0.68 (0.67–0.69) 0.076 0.114 0.58 (0.57–0.59) 0.130 0.147 0.55 (0.51–0.59) 0.127 0.150

CHADS2  21

IS, TIA NS (1.0 y) 0.82 0.78 (0.77–0.80) 0.047 0.039 0.70 (0.68–0.72) 0.084 0.055 0.71 (0.66–0.76) 0.086 0.063

Modified- CHADS2  22

IS, HS 5 y (5 y) 0.72 0.78 (0.77–0.79) 0.124 0.150 0.73 (0.71–0.74) 0.204 0.231 0.74 (0.69–0.79) 0.225 0.238

CHA2DS2-VASc23

IS, TIA, SE 1 y (1 y) 0.61 0.70 (0.69–0.71) 0.043 0.022 0.60 (0.58–0.62) 0.074 0.027 0.58 (0.52–0.64) 0.065 0.028

ATRIA24

IS, SE NS (2.4 y) 0.73 0.78 (0.76–0.79) 0.078 0.055 0.68 (0.66–0.70) 0.133 0.097 0.66 (0.60–0.72) 0.130 0.120

GARFIELD-AF25

IS, TIA, SE 1 y (1 y) 0.69 0.76 (0.75–0.77) 0.047 0.029 0.67 (0.65–0.69) 0.084 0.104 0.70 (0.64–0.76) 0.086 0.108

Discrimination (c-statistic) and calibration in the large (observed vs. predicted) stratified by CKD stages. CKD categories were defined based on the eGFR classification of the KDIGO (Kidney Disease: Improving Global Outcomes) criteria. Normal kidney function was defined as KDIGO G1-2 (eGFR >60 mL/min/1.73 m2), mild CKD as KDIGO G3 (eGFR 30–60 mL/min/1.73 m2), and advanced CKD as KDIGO G4-5 (eGFR <30 mL/min/1.73 m2). Risk scores were validated at the timeframe specified in the article, or if no specification was given, at the maximum follow-up.

CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; HS, haemorrhagic stroke; IS, ischaemic stroke; NS, not specified; Obv., observed; Pred., predicted; SE, systemic embolus; TIA, transient ischaemic attack.