Table 2.
Risk score characteristics |
Validation |
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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.