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DOI: 10.1101/2023.05.16.23290079

PREDICTION OF MORTALITY USING GET WITH THE GUIDELINE HEART FAILURE SCORE (GWTG-HF), ITS COMPARISON WITH APACHE 2 SCORE AND ITS CORRELATION WITH NTPRO BNP LEVELS: A STUDY AMONG PATIENTS OF ACUTE DECOMPENSATED HEART FAILURE FROM SOUTH EAST ASIAN REGION

L.KUMAR H. MAHLA N. CHATURVEDI ...+12 D. SHEKHAWAT
摘要
Objectives- 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. Study design- prospective observational study at medical wards and ICUs in the Department of Cardiology, SMS medical college. Methods-. In this study 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.
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