Heart Failure Acute
Conditions
Brief summary
This study aims to determine the prognosis of heart failure in our population by using multiple validated risk scores and to evaluate the strengths of these scores in assessing prognosis with better discrimination.
Detailed description
After fulfilling the eligibility criteria, informed consent will be obtained from all the patients regarding using data for research while maintaining anonymity. All the included patients will be interviewed by the assigned physician to complete the detailed questionnaire, including patient demographics, risk factors, and validated questionnaires including the Acute Decompensated Heart Failure National Registry (ADHERE), The Get With The Guideline-Heart Failure (GWTG-HF) Risk Score, the Ottawa Heart Failure Risk Scale (OHFRS), and EHMRG30-ST score. All the patients will be followed after 30 days, and survival status will be obtained. The AUC of the GWTG-HF risk score for all-cause death was 0.687 (95% CI, 0.649-0.725) \[18\], at 95% confidence interval, ±3% margin of error, the sample size was calculated to be n=626 patients. The calculated sample size was inflated by a factor of 1.5 for the design effect; hence, the sample size for the study will be N=939. For data verification, 10% of the data will be cross-checked with the source document (Patient file).
Interventions
OTHERAcute Heart Failure
Consecutive patients presented at Emergency Departement with Acute Heart Failure
Sponsors
National Institute of Cardiovascular Diseases, Pakistan
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients of age \> 18 years or more * Either gender * Patients visited the emergency department at NICVD, Karachi * Newly/Already diagnosed with Heart Failure * Giving informed consent * Who can be followed in 30 days via Telephone or in OPD
Exclusion criteria
* Patients of age \<18 years * Patients who do not give consent * Patients who are mentally handicapped due to any neurological or psychiatric illness (excluding depression/anxiety)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In-Hospital Prognosis | From admission till discharge/death | Factors affecting in-hospital prognosis of patients with acute heart failure presented at Emergency of a tertiary care hospital |
| 30-day Prognosis | From day of admission of last visit till 30 days | Factors affecting the 30-day prognosis of patients with acute heart failure either via telephonic contact or re-admission or via OPD. |
Countries
Pakistan
Contacts
Primary ContactMadiha Fatima, MBBS, FCPS
Backup ContactRajesh Kumar, MBBS, FCPS
Outcome results
None listed