Heart failure & cardiomyopathies

Mortality Prediction in Patients With or Without Heart Failure Using a Machine Learning Model

JACC AdvPublished Retrospective cohort study

Authors' conclusion

MARKER-HF predicts mortality for patients with HF as well as for patients suffering from a variety of diseases.

Study context

Population
Consecutive patients undergoing echocardiography in a tertiary referral hospital
Participants
41,749 patients
Exposure
MARKER-HF prediction of 1-year mortality in patients with vs without heart failure (HF)
  • HFn = 4,640
  • Without HFn = 37,109
Outcome
MARKER-HF prediction of mortality (AUC)
Follow-up
1 year
Methodological detailssingle-centre, consecutive patients
  • Single-centre
  • Consecutive patients

Main finding

As reported in the abstract

1-year mortality prediction by MARKER-HF
GroupAUC
HF0.729 (95% CI: 0.706-0.752)
Without HF0.770 (95% CI: 0.760-0.780)

AUC

HF0.729 (95% CI: 0.706-0.752)
Without HF0.770 (95% CI: 0.760-0.780)

Observational data: associations, not effects.

Further findings

Mortality prediction by subgroup (with/without CVD, ACS, AF, COPD, CKD, DM, hypertension)

MARKER-HF prediction of mortality consistent across subgroups
  • Without HF: with CVD n = 22,946; without CVD n = 14,163

Mortality in patients with malignancy

Higher mortality at a given MARKER-HF score than other groups

Original publication

Mortality Prediction in Patients With or Without Heart Failure Using a Machine Learning Model. JACC Adv. Published 22 August 2023. doi:10.1016/j.jacadv.2023.100554

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