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Cardio-Vascular

Measuring 30-Day Death Risk in Heart Failure Patients

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Posted on Oct 12, 2017, 8 a.m.

Researchers develop 13-point assessment

“This is great news for emergency physicians, and patients as well. Anytime you can detect what is probably immanent risk, you should be able to address it and that means save a life! Ultimately, we doctors are here to save lives,” said Dr. Ronald Klatz, President of the A4M, Oct. 4, 2017.

(HealthDay News) -- Researchers say they've developed a simple tool that predicts the 30-day risk of death for acute heart failure patients treated in the emergency department.

Heart failure means that the heart isn't pumping as effectively as it should. Acute episodes of heart failure account for more than 1 million hospitalizations each in the United States and Europe a year.

Spanish Ministry of Health researchers led by Oscar Miro of Hospital Clinic of Barcelona used 13 factors to assess death risk in these patients. These factors included age, systolic (top number) blood pressure reading, respiratory rate, potassium level, and Barthel index score at admission, which is a scale used to assess mobility and independent daily living.

The researchers tested their model in more than 4,700 patients in Spain from 2009 to 2011 and validated them in another group of patients three years later.

The assessment was highly accurate in predicting 30-day death risk, the researchers said. This was especially true among the 10 percent of patients at very high risk (about 45 percent) and the 40 percent of patients at low risk (less than 2 percent).

About 9 out of 10 acute heart failure patients visit the ER for their symptoms, but emergency physicians currently don't classify these patients based on death risk, the study team noted.

There are several risk scores available, but a more reliable tool is needed, the researchers said.

The study results were published Oct. 2 in the journal Annals of Internal Medicine.

More information

The U.S. National Heart, Lung, and Blood Institute has more on heart failure.

SOURCE: Annals of Internal Medicine, news release, Oct. 10, 2017

-- Robert Preidt

Last Updated: Oct 3, 2017

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Dr. Ronald Klatz, DO, MD President of the A4M has 28,000 Physician Members, has trained over 150,000 Physicians, health professionals and scientists in the new specialty of Anti-aging medicine. Estimates of their patients numbering in the 100’s of millions World Wide that are living better stronger, healthier and longer lives. www.WorldHealth.net

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