Naslov
Mortality predictors for patients with acute heart failure

Autori
Potočnjak, Ines ; Bodrožić-Džakić, Tomislava, Šmit, Ivana ; Milošević, Milan ; Degoricija, Vesna

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
European Heart Journal: Acute Cardiovascular Care 2012 1:7 / European Society of Cardiology Working Group on Acute Cardiac Care - Istanbul : European Society of Cardiology (ESC), 2012, 29-30

Skup
Acute Cardiac Care 2012

Mjesto i datum
Istanbul, Turska, 20.10.2012. - 22.10.2012

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
acute heart failure ; outcome ; predictors

Sažetak
Aim: Heart failure (HF) is one of the leading causes of death worldwide. The aim of present study was to investigate predictive value of classification systems in the Emergency Department (ED) patients (pts) presenting with acute HF (AHF). Methods: In the hospital there were 22, 713 ED pts in year 2010, 1, 526 (6.7%) with diagnosis of AHF. Prospective, observational study included 726 AHF pts treated during six months period. Clinical presentation of AHF, New York Heart Association (NYHA) Functional Classification, Simplified Acute Physiology Score II (SAPS II) and Acute Physiology and Chronic Health Evaluation II Score (APACHE II) were recorded. Results: The pts were allocated into six groups according to the recently published ESC Guidelines for the diagnosis and treatment of AHF: 1) Worsening or decompensation of CHF (49.5%) ; 2) Hypertensive HF (23.6%) ; 3) Isolated right HF (11.8%) ; 4) Pulmonary edema (7.5%) ; 5) Cardiogenic shock (3.8%) ; and 6) ACS and HF (3.8%). The overall mortality rate was 67 pts (9.2%) ; autopsy was performed in 10.4% of non-survivors. There was statistically significant difference in outcome according to the New York Heart Association (NYHA) Functional Classification. The pts were distributed by NYHA Classification as follows: NYHA I 1.8%, NYHA II 45.5%, NYHA III 42%, and NYHA IV 10.7%. Pts classified as NYHA II had significantly better survival than NYHA IV (48.5:7.2%, p<0.001). There was no gender dependent difference in survival for females (56.8:43.2%, p=0.319). Pts treated only in ED had significantly better survival rate than pts treated in hospital (62.6:37.4, p<0.001). SAPS II and APACHE II were also calculated, mean value of SAPS II was 27.5 points, SD ±7.7 with 10.3% mortality rate and APACHE II 10.96 points, SD ±4.6 with mortality rate 14.4%. Conclusion: Classification of AHF pts on their admission can predict outcome. It can be used to increase quality of therapeutic procedures. SAPS II has better prognostic value for AHF pts than APACHE II. NYHA Classification is excellent prognostic factor easy to implement in AHF treatment. In providing best care to complicated patients as AHF pts are it is necessary to use mortality predictors.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
DOI: 10.1177/2048872612461726

POVEZANOST RADA