Arques et al reported a simple score for evaluating an older adult hospitalized for acute heart failure. This can help to identify a patient at increased risk for hospital mortality. The authors are from Aubagne Hospital and La Timone University Hospital in France.
Patient selection: acute heart failure, > 70 years of age
Parameters:
(1) serum albumin in g/dL
(2) BNP in pg/mL
(3) serum BUN in mmol/L (actually urea)
Parameter
Finding
Points
serum albumin
>= 3 g/dL
0
< 3 g/dL
2
BNP
<= 840 pg/mL
0
> 840 pg/mL
1
serum urea
<= 15.3 mmol/L
0
> 15.3 mmol/L
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
Total Score
Risk Group
Hospital Death
0 or 1
low
4%
2 to 4
high
35%
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