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May 2, 2022British Journal of Hospital Medicine5 citations

Prognostic risk scores for patients with heart failure

HZHong-Liang ZhaoWCWei Cui

Key Result

Various prognostic risk scores exist for heart failure, but none are universally accepted; clinicians must select scores based on the patient's specific clinical status and heart failure category.

Structured PICO

P
Population
A review of 31 prognostic risk scores for patients with heart failure across different clinical settings, including emergency departments, outpatients, and inpatients.
I
Intervention
Prognostic risk scores

This review highlights the need for updated prognostic risk scores in heart failure that account for contemporary classifications (HFrEF, HFmrEF, HFpEF) and modern medical therapies.

Limitations

  • Few of the scores are universally accepted and clinically applicable.
  • No single score captures all critical information for patients with heart failure.
  • There is an inherent contradiction between simplicity and accuracy in risk scores.
  • Fewer heart failure risk scores correlate with the new classification of heart failure, especially HFmrEF.

Abstract

Heart failure has many causes. Although new drugs, devices and technologies are available, the survival rate and prognosis of patients with heart failure remain poor, placing a significant burden on individuals and society. Attempts to improve outcomes for patients with heart failure include developing prognostic risk scores. With medical advances, however, previous heart failure risk scores are not fully applicable to current practice, particularly because of the classification as heart failure with reduced ejection fraction, heart failure with mildly reduced ejection fraction, and heart failure with preserved ejection fraction. This article describes the use of risk prediction scores for heart failure patients with different clinical status and discusses their clinical applicability.

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Cite This Study

Zhao et al. (2022) conducted a review in Heart failure. Prognostic risk scores was evaluated. Various prognostic risk scores exist for heart failure, but none are universally accepted; clinicians must select scores based on the patient's specific clinical status and heart failure category.

synapsesocial.com/papers/6a6f3e35e5469ee92be043a4https://doi.org/10.12968/hmed.2021.0594
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