Heart failure & cardiomyopathies
The Value of Multiparametric Prediction Scores in Heart Failure Varies with the Type of Follow-Up After Discharge: A Comparative Analysis
Authors' conclusion
The accuracy of the aforementioned scores to predict major events in patients with heart failure is significantly reduced when they are applied to patients included in a multidisciplinary heart failure management programme.
Study context
- Population
- Patients with HF after hospital discharge
- Participants
- 56 vs 106
- Exposure
- HF risk scores' accuracy in protocol-based follow-up programme vs control (no multidisciplinary HF programme)
- Protocol-based follow-up programmen = 56
- Controln = 106reference
- Outcome
- Accuracy (AUC) of BCN Bio-HF Calculator, COACH Risk Engine, MAGGIC Risk Calculator and Seattle HF Model for predicting hospitalization and mortality
- Follow-up
- 12 months after discharge
Main finding
As reported in the abstract
Accuracy (AUC) of risk scores for 1-year hospitalization and mortality, protocol-based follow-up programme vs control
- Hospitalization, control: COACH Risk Engine AUC (good)
- 0.835
- Hospitalization, control: BCN Bio-HF Calculator AUC (reasonable)
- 0.712
- Hospitalization, protocol-based follow-up programme: COACH Risk Engine AUC (significant reduction), P = 0.011
- 0.572
- Hospitalization, protocol-based follow-up programme: BCN Bio-HF Calculator AUC (non-significant reduction), P = 0.1
- 0.536
- 1-year mortality, control: all 4 scores AUC (good), respectively
- 0.863, 0.87, 0.818, and 0.82
- 1-year mortality, protocol-based follow-up programme: COACH Risk Engine, BCN Bio-HF Calculator, MAGGIC Risk Calculator AUC (significant reduction), P < 0.001, 0.002, and <0.001, respectively
- 0.366, 0.642, and 0.277
- 1-year mortality, protocol-based follow-up programme: Seattle HF Model AUC (non-significant reduction), P = 0.24
- 0.597
Observational data: associations, not effects.
Further findings
Hospitalization and mortality rates · 12 months
Hospitalization
P < 0.001
Mortality
P < 0.001
Original publication
The Value of Multiparametric Prediction Scores in Heart Failure Varies with the Type of Follow-Up After Discharge: A Comparative Analysis. ESC Heart Fail. Published 13 June 2023. doi:10.
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