Acurate Heart Failure
Conditions
Keywords
caring, emergency
Brief summary
Our primary purpose is to assess MEESSI score in predicting mortality and readmission of patients managed for acute heart failure (AHF) in Emergency Department. European Society of Cardiology recommend risk stratification for patients with AHF. MEESSI score is not prospectively validated out of Spain.
Interventions
MEESSI score in predicting mortality and readmission of patients managed for acute heart failure (AHF) in Emergency Department.
Sponsors
Study design
Eligibility
Inclusion criteria
* Major patient * Patient admitted to emergencies with suspicion of ICA according to the clinical intuition of the emergency doctor after interrogation, clinical examination, biology and imaging * Patient with health insurance * Subject who accept to participate in the research
Exclusion criteria
* Patient who refuse to participate in the study * Patient with coronary syndrome with ST segment elevation * Other diagnosis of dyspnea * Persons deprived of their freedom or under the protection of justice * Persons under guardianship or curatorship * Impossibility of giving the patient informed information * Pregnant woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MEESSI score | 30 days | Tscore to predict the patient's future in the month following management for ED ICA. That is to say the number of days alive outside the hospital in the month following an ICA episode. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Re-admission rate | 30 days | 30-day re-admission rate compared between the 4 risk categories defined by the MEESSI score |
| Mortality rate | 30 days | Mortality rate at 30 days compared between the 4 risk categories defined by the MEESSI score |
| Sensitivity | 30 days | Sensitivity, specificity and ROC curve of the MEESSI score in relation to the composite criterion according to the 4 risk categories |
Countries
France