The MEESSI-AHF score effectively stratified short-term prognosis in acute heart failure, with days alive and out of hospital at 30 days ranging from 21.2 in low-risk to 17.9 in very high-risk groups.
Cohort (n=390)
Yes
Does the MEESSI-AHF score accurately estimate the number of days alive and out of the hospital in adult patients presenting to the Emergency Department with acute heart failure?
The MEESSI-AHF score effectively stratifies short-term prognosis, specifically days alive and out of the hospital at 30 days, in patients presenting to the emergency department with acute heart failure.
BACKGROUND: The assessment of acute heart failure (AHF) prognosis is primordial in emergency setting. Although AHF management is exhaustively codified using mortality predictors, there is currently no recommended scoring system for assessing prognosis. The European Society of Cardiology (ESC) recommends a comprehensive assessment of global AHF prognosis, considering in-hospital mortality, early rehospitalization rates and the length of hospital stay. OBJECTIVE: We aimed to prospectively evaluate the performance of the Multiple Estimation of risk based on the Emergency department Spanish Score In patients with AHF (MEESSI-AHF) score in estimating short prognosis according to the ESC guidelines. DESIGN, SETTINGS AND PATIENTS: A multicenter study was conducted between November 2020, and June 2021. Adult patients who presented to eleven French hospitals for AHF were prospectively included. OUTCOME MEASURES AND ANALYSIS: According to MEESSI-AHF score, patients were stratified in four categories corresponding to mortality risk: low-, intermediate-, high- and very high-risk groups. The primary outcome was the number of days alive and out of the hospital during the 30-day period following admission to the Emergency Department (ED). RESULTS: In total, 390 patients were included. The number of days alive and out of the hospital decreased significatively with increasing MEESSI-AHF risk groups, ranging from 21.2 days (20.3-22.3 days) for the low-risk, 20 days (19.3-20.5 days) for intermediate risk,18.6 days (17.6-19.6 days) for the high-risk and 17.9 days (16.9-18.9 days) very high-risk category. CONCLUSION: Among patients admitted to ED for an episode of AHF, the MEESSI-AHF score estimates with good performance the number of days alive and out of the hospital.
Oberlin et al. (2023) conducted a cohort in Acute heart failure (AHF) (n=390). MEESSI-AHF score was evaluated on Number of days alive and out of the hospital during the 30-day period following admission to the Emergency Department. The MEESSI-AHF score effectively stratified short-term prognosis in acute heart failure, with days alive and out of hospital at 30 days ranging from 21.2 in low-risk to 17.9 in very high-risk groups.