| Autor: |
Mahla, Himanshu, Kumar, Lalit, Sidhu, Navdeep singh, Bhutani, Jaikrit, Maheshwari, Deepak, Godara, Neha, Nahta, Jagriti, Jain, Anoop, Bagarhatta, Rajeev |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 12, p211-216, 6p |
| Abstrakt: |
Introduction- Heart failure (HF) is one of the most elusive syndromes in cardiology with high morbidity and mortality. Aim- To study Get with the guidelines heart failure Score (GWTG-HF) among patients of acute decompensated heart failure, correlate it with outcome of survival or death till 4 week of illness, compare its performance with APACHE 2 score and to Compare its results with NT PROBNP in predicting mortality amongst patient of south east Asian ethnicity. Methods- Prospective observational study at medical wards and ICUs in the Department of Cardiology, SMS medical college on 300 patients of acute decompensated heart failure, as per Framingham criteria were analyzed and each patient underwent a complete clinical evaluation along with calculation of GWTG HF and APACHE 2 score. All the patients had NT pro BNP test within 48 hours of admission. Patient were then followed till 4 weeks of illness for outcome of survival or death, whichever occurred earlier. GWTG HF score of the patient was then compared with APACHE 2 score and it was correlated with the outcome of patients and NT pro BNP levels. Results- The GWTG-HF score could predict the outcome of survival and death in ADHF patients of south east Asian ethnicity. When compared, APACHE 2 score performed better than GWTG-HF score in predicting outcome. However, GWTG-HF score was easily calculated at the bedside and was easy to use. GWTG-HF score correlated with NT- pro BNP levels with rising score having higher NT pro BNP levels. Conclusion: In resource limited settings like those in the ASAIN countries the usage of a risk prediction score can help the physicians for accurate referral and timely intervention amongst the sickest patients of heart failure. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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