Risk stratify patients with acutely decompensated heart failure
This prospective, multicenter study included 1983 acute heart failure patients who presented to the emergency department.
The Emergency Heart failure Mortality Risk Grade (EHMRG7) was used to determine the risk of 7-day and 30-day mortality and outperformed physicians’ estimate of risk.
Seven-day mortality rates were 0%, 0%, 0.6%, 1.9%, and 3.9% in those at very low, low, intermediate, high, and very high risk.
Of particular note, physicians over-estimated risk in low risk patients, and underestimated risk in the highest-risk group. This may explain prior data that shows that clinical judgement of risk may result in low-risk patients being hospitalized, or higher risk patients being discharged home.
The EHMRG model serves to provide risk estimates that complements clinical judgment in the decision to admit or perform early discharge of patients from the hospital or the emergency department.
Lee DS, Lee JS, Schull MJ, Borgundvaag B, Edmonds ML, Ivankovic M, McLeod SL, Dreyer JF, Sabbah S, Levy PD, O'Neill T, Chong A, Stukel TA, Austin PC, Tu JV.
This prospective, multicenter study included 1983 acute heart failure patients who presented to the emergency department.
The Emergency Heart failure Mortality Risk Grade (EHMRG7) was used to determine the risk of 7-day and 30-day mortality and outperformed physicians’ estimate of risk.
Seven-day mortality rates were 0%, 0%, 0.6%, 1.9%, and 3.9% in those at very low, low, intermediate, high, and very high risk.
Of particular note, physicians over-estimated risk in low risk patients, and underestimated risk in the highest-risk group. This may explain prior data that shows that clinical judgement of risk may result in low-risk patients being hospitalized, or higher risk patients being discharged home.
The EHMRG model serves to provide risk estimates that complements clinical judgment in the decision to admit or perform early discharge of patients from the hospital or the emergency department.
Lee DS, Lee JS, Schull MJ, Borgundvaag B, Edmonds ML, Ivankovic M, McLeod SL, Dreyer JF, Sabbah S, Levy PD, O'Neill T, Chong A, Stukel TA, Austin PC, Tu JV.
© 2020 QxMD Software Inc., all rights reserved. No part of this service may be reproduced in any way without express written consent of QxMD. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgment or guide individual patient care in any manner. Click here for full notice and disclaimer.