Table 3.
Prospectively collected data available for simulations from STRATIFY and DECIDE
| Category | Variables |
|---|---|
| Baseline variables collected | |
| Demographics | Age, gender, race, marital status, insurance status, time of presentation |
| Past medical history | Anemia, angina, cerebral vascular accident/stroke, coronary artery bypass graft surgery, cancer, liver disease, renal disease, lung disease, diabetes, heart failure, heart valve prosthesis, aortic stenosis, MR, AI, myocardial infarction, peripheral vascular disease, permanent pacemaker, percutaneous transluminal coronary angioplasty, psychiatric disease, seizure, syncope, transient ischemic attack |
| Past heart failure history | Number of heart failure hospitalizations in last 6 months, ejection fraction in the last year |
| Medication-related | Recent medication changes, self-reported medication adherence |
| Social history | Smoking history, employment status, cocaine use, alcohol use |
| ED history | Chest pain, dyspnea, fatigue, new-onset CHF, orthopnea, paroxysmal nocturnal dyspnea |
| ED physical examination | Altered mental status, cyanosis, diastolic blood pressure, hepatojugular reflex, jugular venous distension, murmur, oxygen saturation (and percent FI02), peripheral edema, pulse, respiratory rate S3, S4, systolic blood pressure, rales |
| Electrocardiography | Rate, rhythm, ST-segment deviation, T-wave inversion, left bundle branch block, right bundle branch block, pathological Q-waves, ECG diagnostic category* |
| Laboratory | PaO2, PaCO2, arterial pH, AST, ALT, b-type natriuretic peptide (BNP) levels, blood urea nitrogen, creatine kinase, CK-MB, calcium, creatinine, bilirubin (total and direct), hematocrit, hemoglobin, glucose, potassium, sodium, troponin I, white blood cell count |
| Radiographic | Cardiomegaly, effusion, pulmonary vascular congestion, interstitial edema, pulmonary edema, infiltrate, pneumothorax |
| Variables collected throughout hospitalization | |
| Physical examination | Altered mental status, cyanosis, diastolic BP, hepatojugular reflex, JVD, murmur, O2 saturation (and percent FI02), peripheral edema, pulse, respiratory rate, S3, S4, systolic BP, rales |
| Medications | Home use and dose of heart failure medications, ED and hospital AHFS medications and dose |
| Laboratory | PO2, PCO2, arterial/venous pH, AST, ALT, BNP levels, blood urea nitrogen, creatine kinase, CK-MB, calcium, creatinine, bilirubin (total and direct), hematocrit, hemoglobin, glucose, potassium, sodium, troponin, white blood cell count |
| Radiographic | Cardiomegaly, effusion, pulmonary vascular congestion, interstitial edema, pulmonary edema, infiltrate, pneumothorax |
| Other | Electronic heart sounds (S3 or S4), patient self-reported symptom improvement, urine output |
| Outcomes assessed | |
| Panel of cardiologists determined: 5-day and 30-day: Death, cardiac events, intubation, CPR, defibrillation, emergent dialysis | |