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The PRIDE Acute Heart Failure Score of Baggish et al

Purpose: To evaluate a patient for acute heart failure in the Emergency Department (ED) using the PRIDE acute heart failure score of Baggish et al.

Description

Baggish et al developed an score the diagnosis of acute heart failure in the Emergency Department. The acronym PRIDE was derived from ProBNP Investigation of Dyspnea in the Emergency Department. The authors are from Massachusetts General Hospital in Boston and Christchurch Hospital in New Zealand.


Risk factors:

(1) NT-proBNP

(2) chest X-ray

(3) orthopnea

(4) fever

(5) loop diuretic therapy

(6) age

(7) lung physical exam

(8) cough

 

Parameter

Finding

Points

NT-proBNP

age < 50 and > 450 pg/mL

4

 

age < 50 and <= 450 pg/mL

0

 

age >= 50 and > 900 pg/mL

4

 

age >= 50 and <= 900 pg/mL

0

chest X-ray

interstitial edema present

2

 

interstitial edema absent

0

orthopnea

present

2

 

absent

0

fever

absent

2

 

present

0

loop diuretic therapy

currently being taken

1

 

none or not being taken

0

age

<= 75 years

0

 

> 75 years

1

lung physical examination

rales present

1

 

rales absent

0

cough

absent

1

 

present

0

 

total score =

= SUM(points for all 8 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 14

• A cutoff of >= 6 was used to diagnose acute heart failure.

 

Performance:

• A cutoff of 6 had a sensitivity of 96% and specificity of 84%.

• A cutoff of 7 had a sensitivity of 92% and specificity of 89% has a marginally better Youden index.


 


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Specialty

Objective

ICD-10