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October 23, 2020Journal of Clinical MedicineOpen Access

Derivation and Validation of Clinical Prediction Models for Rapid Risk Stratification for Time-Sensitive Management for Acute Heart Failure

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Why the study?

Early and rapid risk stratification of acute heart failure patients is crucial for appropriate triage and outcome improvements, motivating the development of an easy-to-use in-hospital mortality risk prediction tool at initial presentation.

Does the SOB-ASAP score accurately predict in-hospital mortality in patients presenting with acute heart failure?

Population

4,351 derivation and 1,682 validation patients with acute heart failure

Design

Registry-based prediction model derivation and prospective validation study

Key result

The SOB-ASAP score, comprising six variables available at initial triage, demonstrated excellent discrimination for predicting in-hospital mortality in acute heart failure (c-statistic 0.82).

Authors

YSYasuyuki ShiraishiSKShun KohsakaTATakayuki Abe

Discussion

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Member takes

Overview

May aid acute HF risk stratification; hypothesis-generating pending prospective validation.

Study Design

Type

Observational (n=6,033)

Multicenter

Yes

Structured PICO

Does the SOB-ASAP score accurately predict in-hospital mortality in patients presenting with acute heart failure?

P
Population
6,033 patients with acute heart failure from multiple registries used to derive and validate an in-hospital mortality risk prediction tool.
E
Exposure
SOB-ASAP score (a clinical prediction model incorporating age, systolic blood pressure, blood urea nitrogen, serum sodium, albumin, and natriuretic peptide)
O
Outcome
In-hospital mortalityhard clinical

Main Result

Effect estimate: c-statistic 0.82

The SOB-ASAP score is a simple, six-variable clinical tool that accurately predicts in-hospital mortality in patients presenting with acute heart failure, facilitating rapid triage and clinical decision-making.

Cite This Study

Shiraishi et al. (2020) conducted an observational in Acute heart failure (n=6,033). SOB-ASAP score was evaluated on in-hospital mortality (c-statistic 0.82). The SOB-ASAP score, comprising six variables available at initial triage, demonstrated excellent discrimination for predicting in-hospital mortality in acute heart failure (c-statistic 0.82).

synapsesocial.com/papers/6a6a249fa03b17ebb04479d9https://doi.org/10.3390/jcm9113394
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