Heart failure & cardiomyopathies

Webtool to Enhance the Accuracy of Diagnostic Algorithms for Heart Failure with Preserved Ejection Fraction (HFpEF): A Prospective Cross-Over Study

ESC Heart FailPublished Prospective crossover study

Authors' conclusion

Manual calculation of HFpEF diagnostic algorithms is often inaccurate. Using an automated webtool to calculate HFpEF algorithms significantly improved correct scoring.

Study context

Population
Cardiologists with varying clinical experience scoring eight online clinical cases
Participants
55 study completers
Exposure
Manual vs automatic scoring of HFA-PEFF and H2 FPEF algorithms
Outcome
Scoring accuracy (percentage of correct scores)
Methodological detailstriple cross-over design
  • Triple cross-over design

Main finding

As reported in the abstract

GroupValueHFA-PEFFH2 FPEF
Manual50%50% [50-75]50% [38-50]
HFpEF calculator100%100% [88-100]100% [75-100]

Value

Manual50%
HFpEF calculator100%

HFA-PEFF

Manual50% [50-75]
HFpEF calculator100% [88-100]

H2 FPEF

Manual50% [38-50]
HFpEF calculator100% [75-100]
  • HFpEF calculator vs Manual: P < 0.001 — HFA-PEFF
  • HFpEF calculator vs Manual: P < 0.001 — H2 FPEF

Observational data: associations, not effects.

Further findings

Time spent on clinical cases

Similar between scoring methods
±4 min

Change of diagnostic decision when corrections displayed

Cases with changed diagnostic decision
up to 67%

Preference for online tool in future practice

Cardiologists preferring the online tool
At least 67%

Original publication

Webtool to Enhance the Accuracy of Diagnostic Algorithms for HFpEF: A Prospective Cross-Over Study. ESC Heart Fail. Published 19 September 2023. doi:10.1002/ehf2.14525

Composed by AI from the published abstract and checked against it. How Briefs are made →

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