• Eur. J. Intern. Med. · Jul 2020

    Short-term mortality risk score for de novo acute heart failure (ESSIC-FEHF).

    • Susana García-Gutiérrez, Ane Antón-Ladislao, Raul Quiros, Antonio Lara, Irene Rilo, Miren Morillas, Nekane Murga, Maria Soledad Gallardo, Iratxe Lafuente, Urko Aguirre, Jose Maria Quintana, and ESSIC –REDISSEC Group.
    • Unidad de Investigación, Hospital Galdakao-Usansolo [Osakidetza] - Red de Investigación en Servicios de Salud en Enfermedades Crónicas [REDISSEC], Galdakao, Bizkaia, Spain. Electronic address: susana.garciagutierrez@osakidetza.net.
    • Eur. J. Intern. Med. 2020 Jul 1; 77: 52-58.

    BackgroundDifferent variables are playing a role in prognosis of acute heart failure.ObjectivesOur purpose was to create and validate a risk score to predict mortality in patients with a first episode of acute heart failure during the first 2 months after the first hospitalization.DesignThis was a prospective cohort study.ParticipantsWe recruited patients diagnosed with a first episode of acute heart failure.Main MeasuresWe collected data on sociodemographic characteristics; medical history; symptoms; precipitating factors; signs and symptoms of congestion; echocardiographic parameters; aetiology; vital signs and laboratory findings; and response to initial treatment (yes/no). A Cox proportional hazard regression model was built with mortality during the first 2 months after the index episode as the dependent variable. A risk score is presented.Key ResultsThe mortality rate during the first 2 months after a first episode of heart failure was 5%. Age, systolic blood pressure, serum sodium, ejection fraction and blood urea nitrogen were selected in the internal validation, as was right ventricular failure. A risk score was developed. Both the model and the score showed good discrimination and calibration properties when applied to an independent cohort.ConclusionsOur ESSIC-FEHF risk score showed excellent properties in the derivation cohort and also in a cohort from a different time period. This score is expected to help decision making in patients diagnosed with heart failure for the first time.Copyright © 2020 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…