De la Camara et al reported the PREDICE-SCORE for predicting mortality for a patient with congestive heart failure. This can help to identify a patient who may require more aggressive management. The authors are from University Hospital 12 de Octubre, University Hospital Virgen del Rocio and University Hospital de Valme in Spain.
Patient selection: hospitalization for first episode of heart failure
Parameters:
(1) age in years
(2) creatinine clearance in mL per min
(3) activities of daily living
(4) physiopathologic diagnosis (type of heart failure
(5) serum sodium in mmol/L
Parameter
Finding
Points
age in years
< 50 years
0
50 to 59 years
1
60 to 69 years
2
70 to 79 years
3
>= 80 years
5
creatinine clearance
< 77 mL/min
9
77 to 100
7
100-150
6
150-200
4
> 200
0
activities of daily living
independent
0
dependent
2
diagnosis
diastolic heart failure
0
systolic heart failure
3
serum sodium
< 135 mmol/L
3
135 to 145
0
> 145 mmol/L
3
where:
• The scoring for creatinine clearance may require scrutiny.
total score =
= SUM(points for all of the parameters)
Interpretation"
• minimum score: 0
• maximum score: 22
Total Score
1-Year Mortality
0
< 10%
1 or 2
10-20%
3 or 4
20-30%
5
30-40%
6 or 7
40-55%
8 to 10
55-75%
11 to 13
75-85%
14 to 17
85-95%
18 to 22
> 95%
Performance:
• The area under the ROC curve is 0.76.
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