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docs/Transplantation/IMPACT.md

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+# IMPACT (Index for Mortality Prediction After Cardiac Transplantation)
+
+### IMPACT score is a risk assessment tool used to predict 1-year mortality risk following a Heart Transplantation based on 12 parameters
+
+#### Following parameters are needed
+| Parameter | Range | unit |
+| --------- | ----- | ---- |
+| Age | - | - |
+| Serum Bilirubin | >0 | mg/dL |
+| CrCl (Creatinine Clearance) | - | mL/min |
+| Whether Dialysis was done between listing and transplantation | - | - |
+| Gender | - | - |
+| Cause of Heart Failure | - | - |
+| Whether the patient had a recent infection | - | - |
+| Whether Intra-Aortic Balloon Pump was implanted | - | - |
+| Whether Mechanical Ventilation was done pre-transplant | - | - |
+| Race of the patient | - | - |
+| Whether Temporary Circulation Support was needed (incl. ECMO and e-VADs) | - | - |
+| Ventricular Assist Device used | - | - | 
+
+### Few important points:-
+#### A maximum of 50 points are possible while calculating the score, Here are the ranges of the score along with the predicted risk of mortality
+
+| Range | Risk |
+| ------- | ------ |
+| 0 - 4 | really low |
+| 5 - 9 | low |
+| 10 - 14 | moderate |
+| **15 - 19** | **high** | 
+| **>= 20** | **really high** | 
+
+
+### Notice
+Many researches state that the IMPACT score is not as accurate and that it is false in many of the cases. Clinical clues are to be referred to aswell