Peri-operative Risk of blood Transfusion in cardiac surgery by ACTA (PORT score)

Predict risk of blood transfusion after elective cardiac surgery using the ACTA-PORT score

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Cardiac Surgery · Transfusion Risk

ACTA-PORT Score Calculator

Estimates the likelihood of perioperative allogeneic transfusion in adult cardiac surgery. Complete all seven score variables below.

1 Patient characteristics
Age ≥70 years adds 1 point.
Sex recorded for this score
2 Pre-operative measurements
Use the most recent pre-operative value.
Enter the calculated BSA used locally.
Use logistic EuroSCORE I, not EuroSCORE II.
Use the pre-operative serum creatinine value.
3 Planned operation
View score allocation and clinical note
VariableCategoryPoints
Age≥70 years+1
SexFemale+1
Haemoglobin>150 / 140–150 / 130–<140 / 120–<130 / 110–<120 / <110 g/L0 / +2 / +3 / +6 / +8 / +9
Body surface area≥2.3 / 2.1–<2.3 / 1.9–<2.1 / 1.7–<1.9 / <1.7 m²0 / +1 / +2 / +4 / +6
Logistic EuroSCORE I<1 / 1–<2 / 2–<3 / ≥30 / +2 / +3 / +4
Creatinine<88 / 88–<177 / ≥177 µmol/L0 / +1 / +3
OperationOther / isolated CABG or valve / combined CABG + valve0 / +2 / +5

This calculator supports clinical assessment; it does not replace local transfusion or patient blood-management protocols. Source: Klein et al., British Journal of Anaesthesia (2017) .

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