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. 2021 Jul 28;18(7):560–576. doi: 10.11909/j.issn.1671-5411.2021.07.004

Table 1. Scores for risk stratification in patients admitted for acute heart failure in the general and in the elderly population (integrated from Collins, et al.[147]).

Year N Age Variables Outcome
ACE-I: angiotensin-converting enzyme inhibitors; ACS: acute coronary syndrome; BMI: body mass index; BP: blood pressure; BUN: blood urea nitrogen; CO2: carbon dioxide; eGFR: estimated glomerular filtration rate; EHMRG: Emergency Heart Failure Mortality Risk Grade; EKG: electrocardiogram; HF-TR: Patient Journey in Hospital with Heart Failure in Turkish Population; ICU: intensive care unit; MEESSI: Multiple Estimation of risk based on the Emergency department Spanish Score in patients with AHF; NYHA: New York Heart Association; OHFRS: Ottawa Heart Failure Risk Scale; SaO2: oxygen saturation; SENIORS: Study of the Effects of Nebivolol Intervention on Outcomes and Rehospitalisation in Seniors with Heart Failure; STRATIFY: Improving Heart Failure Risk Stratification in the emergency department; TIA: transient ischemic attack. *Validation cohort.
General population
Collins, et al.[114]
STRATIFY
2015 1033 64.0 (53−75) Demographics: age, BMI
History: ACE-I use, supplemental oxygen use, dialysis
Presentation: diastolic BP, respiratory rate, SaO2
Lab: natriuretic peptides, BUN, Sodium, Troponin
EKG: QRS duration
5- and 30-day hierarchical adverse events
Miro, et al.[27]
MEESSI
2018 4897 79.7 Demographics: age
Presentation: NYHA class at admission, respiratory rate, SaO2, systolic BP, low-output symptoms, ACS
Lab: natriuretic peptides, potassium, troponin, creatinine
EKG: hypertrophy
Other: Barthel index at admission
30-day mortality
Stiell, et al.[28]
OHFRS
2017 1100 77.7 ±10.7 History: stroke or TIA, intubation for respiratory distress
Presentation: tachycardia, low room air SaO2
Lab: urea, serum CO2, Troponin I or T, natriuretic peptides
EKG: acute ischemic changes
Other: desaturation or tachycardia during walk test or too ill to walk
30-day serious adverse events
Lee, et al.[26]
EHMRG
2018 1983* 81.0 (71−87) Demographics: age
History: active cancer, metolazone use
Presentation: arrival by ambulance, systolic blood pressure, heart rate, SaO2
Lab: potassium, creatinine, troponin
EKG: ST depression on 12-lead
7- and 30-day mortality
Elderly population
Manzano, et al.[30]
SENIORS
2011 728* 76.1 ± 4.6* Demographics: BMI
History: prior myocardial infarction
Presentation: NYHA class
Lab: uric acid
Echocardiography: left atrial dimension
Time to first cardiovascular hospitalisation or all-cause mortality (21 months follow-up)
Jia, et al.[29] 2017 729* 75.4 ± 5.1* Presentation: heart rate
Lab: pH, eGFR, natriuretic peptides
Echocardiography: left ventricular ejection fraction
In-hospital mortality
Gök, et al.[31]
HF-TR
2020 346* 74.9 ± 6.9* Demographics: age
Presentation: uncontrolled hypertension
Lab: anaemia
Others: Inotrope use, haemodialysis/ultrafiltration, length of ICU stay
In-hospital mortality