Why the study?
This study aimed to systematically identify and summarise all risk scores evaluated in the emergency department setting to stratify acute heart failure patients.
Do risk stratification scores accurately predict mortality in acute heart failure patients in the emergency department?
Population
28 multicentre studies of emergency department acute heart failure patients evaluating 19 risk scores
Design
Systematic review
Key result
Risk stratification scores like EHMRG and MEESSI-AHF accurately predict short-term mortality in emergency department acute heart failure patients, with c-statistics ranging from 0.74 to 0.84.
Authors
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Supports ED disposition decisions in acute HF; confirms validity of EHMRG and MEESSI-AHF across cohorts.
Systematic Review
Yes
Do risk stratification scores accurately predict mortality in acute heart failure patients in the emergency department?
Effect estimate: c-statistic 0.74-0.84
The EHMRG and MEESSI-AHF risk scores are accurate and validated tools for predicting short-term mortality in emergency department patients with acute heart failure, aiding in admission versus discharge decisions.
Miró et al. (2020) conducted a systematic review in Acute heart failure. Risk stratification scores (e.g., EHMRG, MEESSI-AHF) was evaluated on Mortality (7-day and 30-day) (c-statistic 0.74-0.84). Risk stratification scores like EHMRG and MEESSI-AHF accurately predict short-term mortality in emergency department acute heart failure patients, with c-statistics ranging from 0.74 to 0.84.