Emergencies, Heart Diseases
Conditions
Keywords
MEESSI score, ACUTE HEART FAILURE
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.
Detailed description
Improved risk stratification of acute heart failure (AHF) in the emergency department (ED) may help physicians' decisions regarding patient admission or early discharge disposition. The MEESSI-AHF (Multiple Estimation of risk based on the Emergency department Spanish Score In patients with AHF) score was developed to predict 30-day mortality in patients presenting with AHF EDs in Spain. Whether it performs well in other countries is unknown. The MEESSI-AHF risk model includes 13 variables readily available on arrival to Emergency Department. The 40% of patients classified as LOW RISK (30-day mortality: \<2%) should be considered as potential candidates to be early discharged from Emergency Department without admission after adequate response to initial treatment. The 10% of patients classified as VERY HIGH RISK (30-day mortality: \>2%) may clearly benefit from hospital admission. Objective: To externally validate the MEESSI-AHF score in another country.
Interventions
DIAGNOSTIC_TESTMEESSI score
The score aimed to predict the AHF patient's future in the month following management for ED
Sponsors
University of Monastir
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Major patient * Patient admitted to emergencies with final diagnosis of AHF according to the opinion of two emergency experts after consulting the data from the clinical examination, cardiac echocardiography, and BNP level. * 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 causes of dyspnea * Impossibility of giving the patient informed information * Pregnant woman
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MEESSI score | 30 days | predict the AHF patient's future in the month following management in ED with The MEESSI (Multiple Estimation of risk based on the Emergency department Spanish Score In patients with AHF).The MEESSI-AHF risk model includes 13 variables readily available on arrival to Emergency Department. The 40% of patients classified as LOW RISK (30-day mortality: \<2%) should be considered as potential candidates to be early discharged from Emergency Department without admission after adequate response to initial treatment. The 10% of patients classified as VERY HIGH RISK (30-day mortality: \>2%) may clearly benefit from hospital admission. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Re-admission rate [ Time Frame: 30 days ] | 30 days | 30-day re-admission rate compared between the 4 risk categories defined by the MEESSI score |
| Mortality rate [ Time Frame: 30 days ] | 30 days | Mortality rate at 30 days compared between the 4 risk categories defined by the MEESSI score |
| Sensitivity [ Time Frame: 30 days ] | 30 days | Sensitivity, specificity and ROC curve of the MEESSI score in relation to the composite criterion according to the 4 risk categories |
Countries
Tunisia
Contacts
Primary ContactSemir Nouira, Professor
Backup ContactKhaoula Bel Haj Ali, MD
Outcome results
None listed