Suzuki et al reported a predictive model for 6-month mortality in an elderly patient with heart failure. The authors are from Shinshu University and Shinonoi General Hospital in Japan.
Patient selection: age >= 75 years with heart failure
Parameters:
(1) previous admission for heart failure
(2) NYHA class
(3) body mass index (BMI) in kg per square meter
(4) serum albumin in g/dL
(5) left ventricular ejection fraction (LVEF) in percent
Parameter
Finding
Points
previous admission
No
0
Yes
3
NYHA class
I or II
0
III or IV
2
BMI
<17.7 kg per sq m
4
>= 17.7 kg per sq m
0
serum albumin
< 3.5 g/dL
9
>= 3.5 g/dL
0
LVEF
< 50%
2
>= 50%
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 20
Total Score
Risk Group
6-Month Mortality
0 to 6
low
0.5%
7 to 13
intermediate
9%
14 to 20
high
27%
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