Emergency heart failure mortality risk grade may help to reduce heart failure admissions
| العنوان: | Emergency heart failure mortality risk grade may help to reduce heart failure admissions |
|---|---|
| المؤلفون: | N. E. van Hattem, S. L. M. A. Beeres, B. J. A. Mertens, M. L. Antoni, D. E. Atsma, M. J. Schalij, M. C. den Haan |
| المصدر: | Netherlands Heart Journal. BOHN STAFLEU VAN LOGHUM BV Netherlands Heart Journal |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Emergency department, Hospitalisation, Heart failure, Mortality, Cardiology and Cardiovascular Medicine, Risk assessment |
| الوصف: | Introduction Hospital admissions for heart failure (HF) are frequent and pose a heavy burden on health care resources. Currently, the decision to hospitalise is based on clinical judgement rather than on prognostic risk stratification. The Emergency Heart failure Mortality Risk Grade (EHMRG) was recently developed to identify high-risk HF patients in the emergency department (ED). Objective To assess the ability of the EHMRG to predict 30-day mortality in Dutch HF patients visiting the ED and to evaluate whether the EHMRG could help to reduce the number of hospital admissions for decompensated HF. Methods Patients visiting the ED for decompensated HF were included. The decision to hospitalise or discharge was based on clinical judgement. The EHMRG was calculated retrospectively. Based on their EHMRG, patients were stratified as very low risk, low risk, intermediate risk, high risk and very high risk. Results In 227 patients (age 73 ± 12 years, 69% male) 30-day mortality was 11%. Mortality differed significantly among the EHMRG risk groups at 7‑day (p = 0.012) and 30-day follow-up (p p Conclusion The EHMRG accurately differentiates between high- and low-risk decompensated HF patients visiting the ED, making it a promising tool to safely reduce the number of HF admissions. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e8b881c757f2bf9628a4d7c1fa989a38 https://link.springer.com/article/10.1007/s12471-022-01661-3 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e8b881c757f2bf9628a4d7c1fa989a38 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |