title: COPART Risk Score Predicts Long-term Mortality in Peripheral Arterial Occlusive Disease.
abstract: OBJECTIVE
  The COhorte de Patients ARTériopathes (COPART) Risk Score is a risk score assessing the 1 year outcome of patients who received inpatient treatment because of their peripheral arterial occlusive disease (PAOD). The COPART Risk Score consists of six variables each of which is allocated a different number of points (age, history of myocardial infarction, C-reactive protein, ankle-brachial index, estimated glomerular filtration rate, medication with antiplatelet agents, statins and renin-angiotensin system inhibitors).
  
  
  METHODS
  129 consecutive claudicants were included in a prospective trial with an average follow up of 8.8 (± 0.7) years. All patients were hospitalized for their first endovascular procedure to the pelvic and/or femoropopliteal arteries. The endpoints were all cause mortality and cardiovascular (CV) death. The COPART Risk Score was calculated for the three patient cohorts (low risk: 52 patients [40.3%]; medium risk: 41 patients [31.8%]; high risk: 36 patients [27.9%]).
  
  
  RESULTS
  During the follow up period 23.1% (n = 12) of patients in the low risk group, 34.1% (n = 14) of patients in the medium risk group, and 63.9% (n = 23) of patients in the high risk group died. CV death occurred in 11.5% in the low, 22.0% in the medium, and 41.7% in the high risk groups. The three groups differed significantly with regard to all cause and CV mortality (p < .0001 and p = .001).
  
  
  CONCLUSIONS
  The COPART Risk Score is a suitable instrument to predict long-term all cause and CV mortality in claudicants preceding their first peripheral intervention.
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria. Electronic address: gerald.hackl@medunigraz.at.
authors.forename: G
authors.initials: G
authors.lastname: Hackl
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria.
authors.forename: K
authors.initials: K
authors.lastname: Belaj
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria.
authors.forename: T
authors.initials: T
authors.lastname: Gary
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria.
authors.forename: P
authors.initials: P
authors.lastname: Rief
authors.affiliation: Department of Radiology, Division of Interventional Radiology, Medical University Graz, Graz, Austria.
authors.forename: H
authors.initials: H
authors.lastname: Deutschmann
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Seinost
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria.
authors.forename: M
authors.initials: M
authors.lastname: Brodmann
authors.affiliation: Department of Internal Medicine, Division of Angiology, Medical University Graz, Graz, Austria.
authors.forename: F
authors.initials: F
authors.lastname: Hafner
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000401:mortality*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000401:mortality*; D011446:Prospective Studies; D018570:Risk Assessment; D013997:Time Factors
keywords: COPART Risk Score; Endovascular; Mortality; Peripheral arterial occlusive disease