# magent ORBI Score (Auffret 2018) – Cardiogenic Shock After STEMI > magent ORBI Score (Auffret 2018) – Cardiogenic Shock After STEMI is a paid API for AI agents from api.magentlab.com, paid per call via x402, $0.005/call, status unknown (last checked 2026-09-15). 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. ## Facts - Endpoint: GET https://api.magentlab.com/api/calc/orbi - Price: $0.005/call - Payment: x402 - Status: unknown - Last checked: 2026-09-15 - Activations on Zero: 0 - Tags: x402 - Canonical page: https://www.zero.xyz/c/magent-orbi-score-auffret-2018-cardiogenic-shock-after-stemi-25151bdf - Structured record (JSON): https://api.zero.xyz/v1/capabilities/cap_zBg1TgMK7bipor3TAxdYR Status and success rate cover calls made through Zero and Zero's own probes. Third-party monitors may report differently. ## How to call it through Zero Zero handles the 402 payment challenge and records the run. With the Zero CLI installed (`npm i -g @zeroxyz/cli`): ```sh zero fetch --capability magent-orbi-score-auffret-2018-cardiogenic-shock-after-stemi-25151bdf ``` Example prompt: 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. ## When to prefer this 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. ## Known failure modes - 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 ## How this service works 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. ## Output 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. ## Request schema (JSON Schema) ```json { "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: … (truncated) ``` ## More - Live health (JSON, refreshed every minute): https://www.zero.xyz/c/magent-orbi-score-auffret-2018-cardiogenic-shock-after-stemi-25151bdf/health.json - [Zero catalog index](https://www.zero.xyz/llms.txt) - [Other services from api.magentlab.com](https://www.zero.xyz/host/api.magentlab.com/llms.txt)