Background Rapid effective triage is integral to emergency care in patients hospitalized for heart failure, to guide the type and intensity of therapy. Several indexes and scores have been proposed to predict outcome; most of the them are complex and unfit to use at the bedside. Methods We propose a new prognostic index for in hospital mortality in acute heart failure. The index was built according to the formula; 220 – age – heart rate + systolic blood pressure – ( creatinine X 10). The index was tested in 1628 patients admitted for acute heart failure and enrolled, from November 2007 to December 2009, in the Italian Registry on Heart Failure Outcome ( IN-HF); a prospective, multicentre, observational study. Results The prognostic index was an independent predictor for in hospital mortality risk ( c statistic= 0.74) (p<0.0001), together with left ventricular ejection fraction (p= 0.001), Glycemia ( p= 0.019) and hemoglobin concentration (p = 0.002). Conclusion A simple prognostic index based on variables easily assessed can be useful to predict mortality in acute heart failure at the first arrival in hospital.

A simple prognostic index in acute heart failure / Antonini, Lanfranco; Mollica, Cristina; Aspromonte, Nadia; Pasceri, Vincenzo. - In: MINERVA CARDIOANGIOLOGICA. - ISSN 0026-4725. - STAMPA. - (2018). [10.23736/S0026-4725.18.04731-X]

A simple prognostic index in acute heart failure

Cristina MOLLICA;
2018

Abstract

Background Rapid effective triage is integral to emergency care in patients hospitalized for heart failure, to guide the type and intensity of therapy. Several indexes and scores have been proposed to predict outcome; most of the them are complex and unfit to use at the bedside. Methods We propose a new prognostic index for in hospital mortality in acute heart failure. The index was built according to the formula; 220 – age – heart rate + systolic blood pressure – ( creatinine X 10). The index was tested in 1628 patients admitted for acute heart failure and enrolled, from November 2007 to December 2009, in the Italian Registry on Heart Failure Outcome ( IN-HF); a prospective, multicentre, observational study. Results The prognostic index was an independent predictor for in hospital mortality risk ( c statistic= 0.74) (p<0.0001), together with left ventricular ejection fraction (p= 0.001), Glycemia ( p= 0.019) and hemoglobin concentration (p = 0.002). Conclusion A simple prognostic index based on variables easily assessed can be useful to predict mortality in acute heart failure at the first arrival in hospital.
2018
Acute heart failure; emergency care; prognostic index
01 Pubblicazione su rivista::01a Articolo in rivista
A simple prognostic index in acute heart failure / Antonini, Lanfranco; Mollica, Cristina; Aspromonte, Nadia; Pasceri, Vincenzo. - In: MINERVA CARDIOANGIOLOGICA. - ISSN 0026-4725. - STAMPA. - (2018). [10.23736/S0026-4725.18.04731-X]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1113102
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