• F J Martín-Sánchez, G Llopis García, M González-Colaço Harmand, C Fernandez Pérez, J González Del Castillo, P Llorens, P Herrero, J Jacob, V Gil, A Domínguez-Rodriguez, X Rossello, O Miró, en representación de los investigadores del Registro OAK, and Resto de investigadores del registro OAK.
• Servicio de Urgencias, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria, Hospital Clínico San Carlos (IdISSC), Universidad Complutense de Madrid, Madrid, España. Electronic address: fjjms@hotmail.com.
• Med Intensiva. 2020 Jan 1; 44 (1): 9-17.

ObjectiveTo assess the value of frailty screening tool (Identification of Senior at Risk [ISAR]) in predicting 30-day mortality risk in older patients attended in emergency department (ED) for acute heart failure (AHF).DesignObservational multicenter cohort study.SettingOAK-3 register.SubjectsPatients aged ≥65 years attended with ADHF in 16 Spanish EDs from January to February 2016.InterventionNo.VariablesVariable of study was ISAR scale. The outcome was all-cause 30-day mortality.ResultsWe included 1059 patients (mean age 85±5,9 years old). One hundred and sixty (15.1%) cases had 0-1 points, 278 (26.3%) 2 points, 260 (24.6%) 3 points, 209 (19.7%) 4 points, and 152 (14.3%) 5-6 points of ISAR scale. Ninety five (9.0%) patients died within 30 days. The percentage of mortality increased in relation to ISAR category (lineal trend P value <.001). The area under curve of ISAR scale was 0.703 (95%CI 0.655-0.751; P<.001). After adjusting for EFFECT risk categories, we observed a progressive increase in odds ratios of ISAR scale groups compared to reference (0-1 points).Conclusionsscale is a brief and easy tool that should be considered for frailty screening during initial assessment of older patients attended with AHF for predicting 30-day mortality.Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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