Mezquia PN, Soler MC, Tamargo BTO, Olmo MJ

Language: Spanish
References: 0
Page: 1-13
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ABSTRACT

Introduction: The indexes are instruments to help decision-making. None of them is usually used in the detection of acute heart failure.
Objective: To assess the usefulness of Acute Physiology and Chronic Health Evaluation Score II in the risk stratification of patients with acute heart failure.
Methods: A prospective investigation was carried out with 256 patients treated in Intermediate Care at the “Miguel Enríquez” Hospital, who had a diagnosis of acute heart failure. The period of analysis was from January 2010 to December 2013. The study variables were age, sex and value of the Acute Physiology and Chronic Health Evaluation Score II study. The index was applied to all patients upon admission to the service and a follow-up was established until they were discharged. Calibration and discrimination were evaluated with Hosmer-Lemeshow test and the receiver's operating characteristics curve.
Results: The mean age of the patients was 72.10 ± 11.06 years. The deceased had higher mean value of Acute Physiology and Chronic Health Evaluation Score II. An adjusted risk of 1.73 was found with the prognostic index. The area under the curve of operating characteristics of the receiver was 0.84 with good fit (C 10, p= 0.08).
Conclusion: The Acute Physiology and Chronic Health Evaluation II index achieved good qualification and calibration for risk stratification in patients with acute heart failure.