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27 August 2017
Adel Hamed Elbaih1, Eman Adel Elzeky1, Islam Elshaboury1, Mohamed Oraby2 1) Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. 2) Department of
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Naoual Benhmidou1, Fadoua Rais1, Fadila
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Khadija Bellahammou1, Asmaa Lakhdissi1,
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Khaled Moursy Salama1, Monira T.

A Comparative Study of Risk Stratifications Scores for Acute Heart Failure Patients in the Emergency Department, Egypt

Featured A Comparative Study of Risk Stratifications Scores for Acute Heart Failure Patients in the Emergency Department, Egypt

Adel Hamed Elbaih1, Eman Adel Elzeky1, Islam Elshaboury1, Mohamed Oraby2

1) Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

2) Department of Cardiovascular Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Disclosure: The author has declared no conflicts of interest.

Received: 24.12.16 Accepted: 02.03.17

1486385429 Quote  doi: 10.5455/ijsm.acute-heart-failure

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Abstract:

Introduction:  diagnosis of heart failure according to Framingham criteria which is. a) Major criteria. b) Minor criteria for establishing a definite diagnosis of HF, two major or one major and two minor criteria had to be present. In this study two risk stratification models will be used among heart failure patients who present to emergency room, The Seattle heart failure model and the Canadian predictor mortality of HF model.
Aim: comparison will be done according to accuracy and easiness in predicting risk of death in 48hr and 28day from hospital admission among HF patient.
Methods: This study is cross-sectional, observational study on adults presenting to the emergency department with Acute Heart Failure with short term follow up in cardiology care unit (CCU) and Cardiology inpatient ward for MACE. Patients will be divided into two groups. Each group will include 30 patients their cardiac risk determined by one of the two methods of risk stratification utilizing findings on presentation.
Results: The studied patients in Canadian model was 20.0%, acute renal failure was 23.3%, stroke was 10.0%, cardiogenic shock was 36.7% and significant arrhythmia was 10.0%. While according Seattle heart failure model, 57% of the patients were at very high risk, 16.7% were at high risk, 16.7% were at intermediate risk and 10% were at low risk of mortality
Conclusion: Sensitivity, specificity and +PV of Seattle heart failure model was significantly higher than Canadian predictive model with very high area under the ROC curve ( AUC) and very low  standard error (SE).

Keywords: heart failure, risk stratifications


How to Cite this Article

Elbaih, Adel, Elzeky, E., Elshaboury, I., & Oraby, M. (2017). Comparative Study of Risk Stratifications Scores for Acute Heart Failure Patients in the Emergency Department, Egypt. International Journal of Surgery and Medicine, 1. doi:10.5455/ijsm.acute-heart-failure

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Last modified onSunday, 27 August 2017 14:24

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