Mo et al reported a score for predicting adverse outcomes for a Chinese adult with acute decompensated heart failure in the intensive care unit (ICU). The authors are from Fuwai Hospital, Chinese Academy of Medical Sciences ad Peking Union Medical College in China.
Patient selection: Chinese adult with acute decompensated heart failure in the ICU
Adverse outcomes: in-hospital death, cardiac arrest, need for ECMO or IABP
Parameters:
(1) systolic blood pressure in mm Hg
(2) WBC count in 10^9/L
(3) hematocrit in percent
(4) serum total bilirubin in µmol/L
(5) stage of CKD
(6) serum NTproBNP in ng/mL
Parameter
Finding
Points
systolic blood pressure
>= 90 mm Hg
0
< 90 mm Hg
1
WBC count
<= 9.2 * 10^9/L
0
> 9.2 * 10^9/L
2
hematocrit
> 40.7 percent
0
<= 40.7 percent
1
total bilirubin
<= 34.2 µmol/L
0
> 34.2 µmol/L
2
stage CKD
absent
0
1 to 4
0
5
2
NTproBNP
< 10,728.9 ng/mL
0
>= 10,728.9 ng/mL
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
Total Score
Adverse Outcomes
0
0%
1
7.5%
2
8%
3
20%
4
10%
>= 5
46%
Performance:
• The area under the ROC curve is 0.76.
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