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Predictors of heart failure readmission and all-cause mortality in patients with acute heart failure.
Predictors of heart failure readmission and all-cause mortality in patients with acute heart failure. International journal of cardiology Espersen, C., Campbell, R. T., Claggett, B. L., Lewis, E. F., Docherty, K. F., Lee, M. M., Lindner, M., Brainin, P., Biering-Sorensen, T., Solomon, S. D., McMurray, J. J., Platz, E. 2024: 132036Abstract
BACKGROUND: Predischarge risk stratification of patients with acute heart failure (AHF) could facilitate tailored treatment and follow-up, however, simple scores to predict short-term risk for HF readmission or death are lacking.METHODS: We sought to develop a congestion-focused risk score using data from a prospective, two-center observational study in adults hospitalized for AHF. Laboratory data were collected on admission. Patients underwent physical examination, 4-zone, and in a subset 8-zone, lung ultrasound (LUS), and echocardiography at baseline. A second LUS was performed before discharge in a subset of patients. The primary endpoint was the composite of HF hospitalization or all-cause death.RESULTS: Among 350 patients (median age 75?years, 43% women), 88 participants (25%) were hospitalized or died within 90?days after discharge. A stepwise Cox regression model selected four significant independent predictors of the composite outcome, and each was assigned points proportional to its regression coefficient: NT-proBNP =2000?pg/mL (admission) (3 points), systolic blood pressure?
View details for DOI 10.1016/j.ijcard.2024.132036
View details for PubMedID 38599465