Heart failure & cardiomyopathies
Webtool to Enhance the Accuracy of Diagnostic Algorithms for Heart Failure with Preserved Ejection Fraction (HFpEF): A Prospective Cross-Over 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
| Group | Value | HFA-PEFF | H2 FPEF |
|---|---|---|---|
| Manual | 50% | 50% [50-75] | 50% [38-50] |
| HFpEF calculator | 100% | 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 →