• Mathieu Oberlin, Guillaume Buis, Karine Alamé, Mikaël Martinez, Marie Paule Bitard, Lise Berard, Xavier Losset, Frederic Balen, Bruno Lehodey, Omide Taheri, Quentin Delannoy, Sabrina Kepka, Duc-Minh Tran, Pascal Bilbault, Julien Godet, and Pierrick Le Borgne.
• Emergency Department, University Hospitals of Strasbourg, Strasbourg.
• Eur J Emerg Med. 2023 Dec 1; 30 (6): 424431424-431.

BackgroundThe assessment of acute heart failure (AHF) prognosis is primordial in emergency setting. Although AHF management is exhaustively codified using mortality predictors, there is currently no recommended scoring system for assessing prognosis. The European Society of Cardiology (ESC) recommends a comprehensive assessment of global AHF prognosis, considering in-hospital mortality, early rehospitalization rates and the length of hospital stay.ObjectiveWe aimed to prospectively evaluate the performance of the Multiple Estimation of risk based on the Emergency department Spanish Score In patients with AHF (MEESSI-AHF) score in estimating short prognosis according to the ESC guidelines.Design, Settings And PatientsA multicenter study was conducted between November 2020, and June 2021. Adult patients who presented to eleven French hospitals for AHF were prospectively included.Outcome Measures And AnalysisAccording to MEESSI-AHF score, patients were stratified in four categories corresponding to mortality risk: low-, intermediate-, high- and very high-risk groups. The primary outcome was the number of days alive and out of the hospital during the 30-day period following admission to the Emergency Department (ED).ResultsIn total, 390 patients were included. The number of days alive and out of the hospital decreased significatively with increasing MEESSI-AHF risk groups, ranging from 21.2 days (20.3-22.3 days) for the low-risk, 20 days (19.3-20.5 days) for intermediate risk,18.6 days (17.6-19.6 days) for the high-risk and 17.9 days (16.9-18.9 days) very high-risk category.ConclusionAmong patients admitted to ED for an episode of AHF, the MEESSI-AHF score estimates with good performance the number of days alive and out of the hospital.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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