Saturday, December 30, 2017

MEESI-AHF Risk Model

"MEESSI-AHF is a risk model to predict 30-day mortality in patients attending Emergency Departments (ED) with a diagnosis of Acute Heart Failures (AHF).
The MEESSI-AHF score was derived on 4867 consecutive AHF patients admitted to Spanish ED during 2009-2011, and then validated in 3229 consecutive AHF patients during 2014. (Note patients also with ST elevation myocardial infarction are excluded)
The MEESSI-AHF risk model includes 13 variables readily available on arrival to Emergency Department. The 40% of patients classified as LOW RISK (30-day mortality: <2%) should be considered as potential candidates to be early discharged from Emergency Department without admission after adequate response to initial treatment. The 10% of patients classified as VERY HIGH RISK (30-day mortality: >2%) may clearly benefit from hospital admission.
For some patients troponin, NT-proBNP and/or Barthel index values may be unknown. In such cases we still enable the risk score to be derived."
Reference: Miro O et al. Predicting 30-day Mortality for Patients with Acute Heart Failure Who Are in the Emergency Department: A Cohort Study. Ann Intern Med 2017.