Clinical Risk Prediction Tools in Patients Hospitalized With Heart Failure
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Key result
Clinical risk prediction tools using admission characteristics, vital signs, and laboratory results can reliably stratify patients hospitalized with heart failure into low, intermediate, and high mortality risk groups.
Why the study?
Do clinical risk prediction tools accurately predict mortality in patients hospitalized with heart failure?
Population
Patients hospitalized with heart failure
Design
Review
Authors
Discussion
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Member takes
Implication
May aid in-hospital HF risk stratification; leaves open prospective validation of outcome impact.
Structured PICO
Do clinical risk prediction tools accurately predict mortality in patients hospitalized with heart failure?
P
Population
A review of clinical risk prediction tools and models for patients hospitalized with heart failure to estimate short- and long-term mortality risk.
E
Exposure
Clinical risk prediction tools/models (e.g., ADHERE, OPTIMIZE-HF, GWTG-HF, EFFECT)
O
Outcome
Mortality (in-hospital, 30-day, and 1-year)hard clinical
The integration of validated clinical risk prediction tools into practice can accurately stratify mortality risk in patients hospitalized with heart failure, potentially guiding triage, monitoring, and the application of evidence-based therapies.
Limitations
- Multivariate-generated risk scores can be complex and require a computer or calculator, making them potentially impractical for bedside assessment.
- Models have proven to be less effective at discriminating rehospitalization risk compared to mortality risk.
- Some outpatient risk models, such as the Seattle Heart Failure Model, do not perform well when applied to hospitalized patients.
Cite This Study
Gregg C. Fonarow (2012) conducted a review in Heart failure. Clinical risk prediction tools was evaluated on Mortality risk stratification (in-hospital, 30-day, and 1-year). Clinical risk prediction tools using admission characteristics, vital signs, and laboratory results can reliably stratify patients hospitalized with heart failure into low, intermediate, and high mortality risk groups.
Topics
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