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Prospective Validation of the CoDE-HF Algorithm for the Diagnosis of Acute Heart Failure

Prospective Validation of the CoDE-HF Algorithm for the Diagnosis of Acute Heart Failure

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05518396
Acronym
ProVa CoDE-HF
Enrollment
3808
Registered
2022-08-26
Start date
2021-04-25
Completion date
2028-06-30
Last updated
2026-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Heart Failure, Diagnosis

Keywords

Artificial Intelligence

Brief summary

Acute heart failure is a life-threatening condition where the heart is suddenly unable to pump blood around the body. It can be challenging to diagnose because the symptoms often mimic other conditions. Previous studies have showed that delays in making the correct diagnosis result in worse outcomes. We therefore developed a decision-support tool called CoDE-HF that uses a computer algorithm to combine levels of a blood test called NT-proBNP with patient factors to calculate the probability of acute heart failure for an individual. In this project, we wish to evaluate the performance of CoDE-HF in approximately 2,000 patients attending the Emergency Department with suspected acute heart failure. We will store surplus material from their blood tests to measure NT-proBNP and link information from their electronic health records with other routinely collected medical information in regional and national databases in order to evaluate this algorithm.

Interventions

DIAGNOSTIC_TESTCoDE-HF decision support tool

We will assess the diagnostic performance of the CoDE-HF decision support tool

Sponsors

University of Edinburgh
Lead SponsorOTHER
NHS Lothian
CollaboratorOTHER_GOV

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients presenting to the Emergency Department with acute breathlessness

Design outcomes

Primary

MeasureTime frame
Adjudicated diagnosis of acute heart failureAt index presentation

Secondary

MeasureTime frame
Subsequent hospitalisation with heart failure3 months
All-cause death3 months

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026