Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access

Original Research

IJSM. 2017; 3(3): 140-149

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

Adel Hamed Elbaih; Eman Adel Elzeky; Islam Elshaboury; Mohamed Oraby.

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).

Key words: heart failure;risk stratifications

Share this Article

Journal of Apitherapy


ScopeMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons