Heart failure & cardiomyopathies

Heart Failure Risk Scores in Advanced Heart Failure Patients: Insights from the LEVO-D Registry

ESC Heart FailPublished Registry-based risk score validation study

Authors' conclusion

The two evaluated risk scores showed suboptimal discrimination and calibration with an underestimation of risk in advanced HF patients receiving levosimendan as destination therapy.

Study context

Population
Advanced heart failure (HF) patients receiving intermittent inotropic support with levosimendan as destination therapy
Participants
403 patients23 hospitals
Comparison
BCN-Bio-HF vs Meta-Analysis Global Group in Chronic HF (MAGGIC-HF) risk scores
Outcome
Discrimination for all-cause mortality (AUC and Harrell's C-statistic)
Follow-up
1 year
Methodological detailsmulticentre, 23 tertiary hospitals in Spain
  • Multicentre
  • 23 tertiary hospitals in Spain

Performance

As reported in the abstract

All-cause mortality prediction
Test or modelAUCHarrell's C-statisticPredicted 1-year mortality
BCN-Bio-HF0.660.6417.0%
MAGGIC-HF0.620.6122.1%

AUC

BCN-Bio-HF0.66
MAGGIC-HF0.62

Harrell's C-statistic

BCN-Bio-HF0.64
MAGGIC-HF0.61

Predicted 1-year mortality

BCN-Bio-HF17.0%
MAGGIC-HF22.1%
Observed death rate at 1 year
26.8%

Original publication

Heart Failure Risk Scores in Advanced Heart Failure Patients: Insights from the LEVO-D Registry. ESC Heart Fail. Published 8 July 2023. doi:10.1002/ehf2.14400

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