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Prognostic Score of Chin and Goldman for Hospital Readmission or Death Within 60 Days for a Patient with Congestive Heart Failure

Purpose: To evaluate a patient with congestive heart failure (CHF) for probability of death or readmission within 60 days based on the score of Chin and Goldman.

Description

Chin and Goldman developed a simple score for identifying the risk that a patient admitted to the hospital with congestive heart failure will die or require readmission within 60 days of discharge. This can help identify a patient who may benefit from more aggressive management or closer monitoring. The authors are from Brigham and Women's Hospital and Harvard University.


Parameters:

(1) marital status

(2) Charlson comorbidity score

(3) systolic blood pressure in mm Hg on current admission

(4) ST wave changes on admission ECG for current admission

 

Parameter

Finding

Points

marital status

currently married

0

 

single (never married, or divorced, or widowed

2

Charlson comorbidity score

 

MIN(score, 4)

initial systolic blood pressure

> 100 mm Hg

0

 

<= 100 mm Hg

3

ST-T wave changes

new changes present

0

 

none

2

 

changes known to be old or caused by digoxin

2

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 11

• The higher the score the greater the risk to the patient.

 

Total Score

Percent Dead or Readmitted Within 60 Days

0 or 1

0%

2 to 5

24%

6 or 7

42%

8 to 11

72%


 


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Specialty

Objective

ICD-10