{"uid":"cap_zBg1TgMK7bipor3TAxdYR","slug":"magent-orbi-score-auffret-2018-cardiogenic-shock-after-stemi-25151bdf","name":"magent ORBI Score (Auffret 2018) – Cardiogenic Shock After STEMI","description":"Auffret 2018 ORBI integer score for in-hospital cardiogenic shock after STEMI treated by primary PCI. Rounded adjusted-OR points (max 36) from age >70, prior stroke/TIA, cardiac arrest, anterior STEMI, FMC-to-PPCI >90 min, Killip I-III, heart rate >90, SBP <125 with pulse pressure <45, glucose >10 mmol/L, left-main culprit, and post-PPCI TIMI <3. Derivation-cohort class I-IV percents. Not a medical device, not a cath-lab or shock-treatment order, and not the ORBIT bleeding score.","url":"https://api.magentlab.com/api/calc/orbi","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":["age_years","prior_stroke_tia","cardiac_arrest_on_admission","anterior_stemi","fmc_to_ppci_gt_90_min","killip_class","heart_rate","sbp_lt_125_and_pp_lt_45","glucose_gt_10_mmol_l","left_main_culprit","post_ppci_timi_lt_3"],"properties":{"age_years":{"type":"integer","description":"Age in years (18-120). Auffret 2018: older than 70 scores 2; 70 or younger scores 0."},"heart_rate":{"type":"integer","description":"Heart rate in beats per minute (integer 30-220). Auffret 2018: greater than 90 scores 3."},"killip_class":{"enum":["i","ii","iii"],"type":"string","description":"Caller-assigned Killip class after STEMI (Auffret 2018): i (0), ii (2), or iii (6). Killip IV is rejected because the derivation excluded cardiogenic shock on admission. magent does not examine the patient."},"anterior_stemi":{"type":"boolean","description":"Anterior ST-elevation myocardial infarction (Auffret 2018: 1 point). Caller-assigned. magent does not read the ECG."},"prior_stroke_tia":{"type":"boolean","description":"Prior stroke or TIA (Auffret 2018: 2 points). true or false."},"left_main_culprit":{"type":"boolean","description":"Whether the culprit lesion is the left main coronary artery (Auffret 2018: 5 points). Caller-assigned. magent does not read the angiogram."},"post_ppci_timi_lt_3":{"type":"boolean","description":"Whether post-primary-PCI TIMI flow is <3 (Auffret 2018: 5 points). Caller-assigned. magent does not assign TIMI flow."},"glucose_gt_10_mmol_l":{"type":"boolean","description":"Admission glucose >10 mmol/L (Auffret 2018: 3 points). true or false. magent does not convert units."},"fmc_to_ppci_gt_90_min":{"type":"boolean","description":"First medical contact to primary PCI greater than 90 minutes (Auffret 2018: 2 points). true or false. magent does not compute timestamps."},"sbp_lt_125_and_pp_lt_45":{"type":"boolean","description":"Whether systolic BP is <125 mm Hg and pulse pressure is <45 mm Hg together (Auffret 2018: 4 points). Single caller-assigned boolean; magent does not take separate SBP or pulse-pressure numbers."},"cardiac_arrest_on_admission":{"type":"boolean","description":"Cardiac arrest on admission (Auffret 2018: 3 points). true or false."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"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_Fbhr8fyDYuYVN1EV2sVFV","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":"Computes the Auffret 2018 ORBI integer score predicting in-hospital cardiogenic shock after STEMI treated by primary PCI, returning rounded adjusted-OR points (max 36) and derivation-cohort risk class percents.","exampleAgentPrompt":"Calculate the Auffret 2018 ORBI cardiogenic shock score for a 73-year-old with anterior STEMI and no prior stroke or TIA, who had a cardiac arrest on admission, Killip class II, heart rate 95 bpm, FMC-to-PPCI time over 90 minutes, admission glucose above 10 mmol/L, no left-main culprit, SBP not low with normal pulse pressure, and post-PPCI TIMI flow of 3 or better.","exampleUseCases":[{"title":"Post-PPCI shock risk triage in the cath lab","prompt":"Score this STEMI patient for cardiogenic shock risk using the ORBI model: 76-year-old, anterior STEMI, cardiac arrest on admission, Killip class III, heart rate 105, FMC-to-balloon over 90 minutes, glucose 13 mmol/L, left main culprit, post-PPCI TIMI less than 3, no prior stroke or TIA, and SBP 110 with pulse pressure 35."},{"title":"Clinical audit of STEMI shock risk distribution","prompt":"Run the Auffret ORBI score for a 65-year-old non-anterior STEMI patient with no cardiac arrest, Killip I, heart rate 78, FMC-to-PPCI under 90 minutes, glucose 8 mmol/L, no left main culprit, post-PPCI TIMI 3, no prior stroke, normal blood pressure — I want to see what risk class they fall into."},{"title":"Teaching case for cardiology fellows","prompt":"What is the ORBI integer score and risk class for this teaching case: 82-year-old with prior TIA, anterior STEMI, no cardiac arrest, Killip II, heart rate 88, FMC-to-PPCI over 90 minutes, glucose 11 mmol/L, not a left main culprit, post-PPCI TIMI flow 3, SBP 130 with pulse pressure 50?"}],"resultDescription":"Returns the Auffret 2018 ORBI integer score (0–36 rounded adjusted-OR points) computed from the 11 clinical predictors, together with the derivation-cohort risk class (I–IV) and corresponding observed incidence percentage for in-hospital cardiogenic shock after primary PCI-treated STEMI.","failureModes":["Missing required query parameter returns a 400-level error","killip_class value of 'iv' is rejected because Killip IV (cardiogenic shock on admission) was excluded from the derivation cohort","age_years outside 18–120 range returns a validation error","heart_rate outside 30–220 range returns a validation error","Non-boolean value for flag fields returns a schema validation error","Payment failure or missing x402 payment header returns a 402 Payment Required response"],"whenToPreferThis":"Use this endpoint when you need to compute the validated Auffret 2018 ORBI score specifically — not the ORBIT bleeding score, not the MAGGIC heart failure score, and not a generic ACS risk calculator. It is appropriate when a caller has already assigned all 11 clinical variables (ECG findings, angiographic findings, vital signs, labs) from a STEMI patient being treated by primary PCI, and wants a reproducible integer risk score for in-hospital cardiogenic shock stratification. Prefer this over manual lookup when integrating risk scoring into automated clinical documentation or audit pipelines.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T01:21:16.721Z","isFirstParty":false}