{"uid":"cap_sdaRHiIJb9HXEjn-UxJVV","slug":"rogers-2011-aortic-dissection-detection-risk-score-add-rs-8921fdbe","name":"Rogers 2011 Aortic Dissection Detection Risk Score (ADD-RS)","description":"Rogers 2011 aortic dissection detection risk score (ADD-RS). One point per high-risk category with any marker (conditions, pain features, exam features); two markers in the same category still add only 1; max 3. Bands 0 / 1 / 2-3. Deterministic published score with citation. Not an imaging order, not ADvISED D-dimer rule-out; score 0 does not exclude dissection.","url":"https://api.magentlab.com/api/calc/add_rs","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["marfan_or_connective_tissue","family_aortic_disease","known_aortic_valve_disease","recent_aortic_manipulation","known_thoracic_aneurysm","pain_sudden","pain_severe","pain_ripping_or_tearing","pulse_deficit_or_sbp_differential","focal_neuro_deficit_with_pain","new_ai_murmur_with_pain","hypotension_or_shock"],"properties":{"pain_severe":{"type":"boolean","description":"Chest, back, or abdominal pain of severe intensity (Rogers 2011 high-risk pain feature). true or false."},"pain_sudden":{"type":"boolean","description":"Chest, back, or abdominal pain of abrupt onset (Rogers 2011 high-risk pain feature). true or false."},"hypotension_or_shock":{"type":"boolean","description":"Hypotension or shock state (Rogers 2011 high-risk exam feature). true or false."},"family_aortic_disease":{"type":"boolean","description":"Family history of aortic disease (Rogers 2011 high-risk condition). true or false."},"known_thoracic_aneurysm":{"type":"boolean","description":"Known thoracic aortic aneurysm (Rogers 2011 high-risk condition). true or false."},"new_ai_murmur_with_pain":{"type":"boolean","description":"New murmur of aortic insufficiency in conjunction with pain (Rogers 2011 high-risk exam feature). true or false. Caller-assigned; magent does not auscultate."},"pain_ripping_or_tearing":{"type":"boolean","description":"Chest, back, or abdominal pain described as ripping or tearing (Rogers 2011 high-risk pain feature). true or false."},"known_aortic_valve_disease":{"type":"boolean","description":"Known aortic valve disease (Rogers 2011 high-risk condition). true or false."},"recent_aortic_manipulation":{"type":"boolean","description":"Recent aortic manipulation such as catheterization or cardiac surgery (Rogers 2011 high-risk condition). true or false."},"marfan_or_connective_tissue":{"type":"boolean","description":"Marfan syndrome or other connective-tissue disease (Rogers 2011 high-risk condition). true or false. Caller-assigned; magent does not diagnose a syndrome."},"focal_neuro_deficit_with_pain":{"type":"boolean","description":"Focal neurologic deficit in conjunction with pain (Rogers 2011 high-risk exam feature). true or false."},"pulse_deficit_or_sbp_differential":{"type":"boolean","description":"Pulse deficit or systolic blood-pressure differential (Rogers 2011 high-risk exam feature). true or false. Caller-assigned; magent does not measure pulses."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":{"type":"json","example":{"path":"/api/calc/add_rs","count":2,"items":[{"score":0,"formula":"add_rs","citation":{"id":"rogers-2011","doi":"10.1161/CIRCULATIONAHA.110.988568","pmid":"21555704","title":"Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection","source":"Circulation. 2011;123(20):2213-2218","authors":"Rogers AM, Hermann LK, Booher AM, et al."},"max_score":3,"components":[{"factor":"high_risk_conditions","points":0,"present":false},{"factor":"high_risk_pain","points":0,"present":false},{"factor":"high_risk_exam","points":0,"present":false}],"disclaimer":"Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.","add_rs_band":"0","formula_expression":"ADD-RS = 1 if any high-risk condition (Marfan/connective tissue, family aortic disease, known aortic valve disease, recent aortic manipulation, known thoracic aneurysm) + 1 if any high-risk pain feature of chest/back/abdominal pain (sudden, severe, ripping/tearing) + 1 if any high-risk exam feature (pulse deficit or SBP differential, focal neurologic deficit with pain, new AI murmur with pain, hypotension or shock); two markers in the same category still add only 1; max 3; Rogers 2011 bands 0 / 1 / 2-3 (2010 ACCF/AHA high-risk markers)"},{"score":0,"formula":"add_rs","citation":{"id":"rogers-2011","doi":"10.1161/CIRCULATIONAHA.110.988568","pmid":"21555704","title":"Sensitivity of the aortic dissection detection risk score, a novel guideline-based tool for identification of acute aortic dissection at initial presentation: results from the international registry of acute aortic dissection","source":"Circulation. 2011;123(20):2213-2218","authors":"Rogers AM, Hermann LK, Booher AM, et al."},"max_score":3,"components":[{"factor":"high_risk_conditions","points":0,"present":false},{"factor":"high_risk_pain","points":0,"present":false},{"factor":"high_risk_exam","points":0,"present":false}],"disclaimer":"Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.","add_rs_band":"0","formula_expression":"ADD-RS = 1 if any high-risk condition (Marfan/connective tissue, family aortic disease, known aortic valve disease, recent aortic manipulation, known thoracic aneurysm) + 1 if any high-risk pain feature of chest/back/abdominal pain (sudden, severe, ripping/tearing) + 1 if any high-risk exam feature (pulse deficit or SBP differential, focal neurologic deficit with pain, new AI murmur with pain, hypotension or shock); two markers in the same category still add only 1; max 3; Rogers 2011 bands 0 / 1 / 2-3 (2010 ACCF/AHA high-risk markers)"}]}},"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_PG3LRb5c2rf5Z3-B4WLRV","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Calculates the Rogers 2011 ADD-RS for aortic dissection risk stratification by summing one point per high-risk category (conditions, pain features, exam features) with a maximum score of 3.","exampleAgentPrompt":"Score this patient for aortic dissection using the Rogers ADD-RS: they have known Marfan syndrome and a family history of aortic disease, the pain was sudden and severe with a ripping quality, and on exam they have a pulse deficit and new aortic insufficiency murmur — no hypotension, no recent aortic manipulation, no known thoracic aneurysm or aortic valve disease, no focal neuro deficit.","exampleUseCases":[{"title":"ED triage for acute chest pain","prompt":"My ED patient has sudden severe tearing chest pain radiating to the back, a blood pressure differential between arms, and a known bicuspid aortic valve — no Marfan's, no family history, no neuro deficit, no shock. Can you calculate the Rogers ADD-RS score and tell me which risk band they're in?"},{"title":"Clinical documentation and audit","prompt":"I need the ADD-RS score documented for a patient: no high-risk conditions, pain was severe and abrupt but not ripping, exam shows hypotension but no murmur or neuro deficit. Run the Rogers 2011 aortic dissection score so I can record the risk category in the chart."},{"title":"Teaching case risk stratification","prompt":"For this teaching case — patient with family history of aortic disease, pain described as sudden and ripping, but no exam findings at all — what does the Rogers ADD-RS calculator give us, and what band does that put them in?"}],"resultDescription":"Returns the computed ADD-RS integer score (0–3), the corresponding risk band (0, 1, or 2–3), a breakdown of points assigned per clinical category (conditions, pain features, exam features), and a citation to Rogers 2011. Score 0 does not exclude dissection; the result is a published deterministic clinical score, not an imaging order or D-dimer rule-out.","failureModes":["Missing required boolean query parameters returns a validation error","Non-boolean values for flag fields cause a 400 error","Payment failure (x402) if USDC not provided or insufficient","Network timeout if the API is temporarily unavailable"],"whenToPreferThis":"Use this endpoint when you need a fast, deterministic calculation of the Rogers 2011 ADD-RS for aortic dissection risk stratification in an emergency or clinical decision-support context. Prefer it over manual scoring to avoid arithmetic errors and to get structured output with risk banding. Not a substitute for the ADvISED D-dimer rule-out protocol or clinical imaging decisions.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T00:45:40.529Z","isFirstParty":false}