ArticleCirculation. Heart failure2017
Inpatient Mortality Risk Scores and Postdischarge Events in Hospitalized Heart Failure Patients: A Community-Based Study.
Article in Circulation. Heart failure, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Performance of the heart failure risk scores in predicting 1 year mortality and short-term readmission of patients.ESC heart failure · 2023Pooled it
- Assessment of the Accuracy of the ADHERE Score in a Brazilian Acute Heart Failure Cohort.Arquivos brasileiros de cardiologia · 2025Article
- Prognostic Models in Heart Failure: Hope or Hype?Journal of personalized medicine · 2025Review
- Risk classification for long-term mortality among patients with acute heart failure: China PEACE 4YMortality.ESC heart failure · 2025Article
- The modified Rajan's heart failure risk score predicts all-cause mortality in patients hospitalized for heart failure with reduced ejection fraction: a retrospective cohort study.Annals of medicine and surgery (2012) · 2024Article
- Blood urea nitrogen to serum albumin ratio: a novel mortality indicator in intensive care unit patients with coronary heart disease.Scientific reports · 2024Article
- Development and Validation of R-hf Risk Score in Acute Heart Failure Patients in the Middle East.Oman medical journal · 2023Article
- Use of the ADHERE Risk Model as a Predictor of Risk of in-Hospital Worsening Heart Failure in a Cohort.Arquivos brasileiros de cardiologia · 2023Article
- Validation of R-hf risk score for risk stratification in ischemic heart failure patients: A prospective cohort study.Annals of medicine and surgery (2012) · 2022Article
- Implementation of EHMRG Risk Model in an Italian Population of Elderly Patients with Acute Heart Failure.Journal of clinical medicine · 2022Article
- Usefulness of the 2-year iodine-123 metaiodobenzylguanidine-based risk model for post-discharge risk stratification of patients with acute decompensated heart failure.European journal of nuclear medicine and molecular imaging · 2022Article
- "Get with the Guidelines Heart Failure Risk Score" for mortality prediction in patients undergoing MitraClip.Clinical research in cardiology : official journal of the German Cardiac Society · 2021Article
- Prognostic significance of the get with the guidelines-heart failure (GWTG-HF) risk score in patients undergoing trans-catheter tricuspid valve repair (TTVR).Heart and vessels · 2021Article
- Combined Assessment of D-Dimer with the Get with the Guidelines-Heart Failure Risk Score and N-Terminal Pro-B-Type Natriuretic Peptide in Patients with Acute Decompensated Heart Failure with Preserved and Reduced Ejection Fraction.Journal of clinical medicine · 2021Article
- Predictability of Inpatient Mortality of Different Comorbidities in Both Types of Acute Decompensated Heart Failure: Analysis of National Inpatient Sample.Cardiology research · 2021Article
- Temporal trends in risk profiles among patients hospitalized for heart failure.American heart journal · 2021Article
- Association between Vitamin D and Heart Failure Mortality in 10,974 Hospitalized Individuals.Nutrients · 2021Article
- Prediction of HF-Related Mortality Risk Using Genetic Risk Score Alone and in Combination With Traditional Risk Factors.Frontiers in cardiovascular medicine · 2021Article
- Predictive Value of the Get With The Guidelines Heart Failure Risk Score in Unselected Cardiac Intensive Care Unit Patients.Journal of the American Heart Association · 2020Article
- Approaching Higher Dimension Imaging Data Using Cluster-Based Hierarchical Modeling in Patients with Heart Failure Preserved Ejection Fraction.Scientific reports · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe Acute Decompensated Heart Failure National Registry (ADHERE) and Get With The Guidelines (GWTG) registries have developed simple heart failure (HF) in-hospital mortality risk scores. We hypothesized that HF scores predictive of in-hospital mortality would perform as well for early postdischarge mortality risk stratification. METHODS AND
resultsIn this single-center, community-based, retrospective study of all consecutive primary HF hospitalizations (6203 hospitalizations in 3745 patients) from 2000 to 2013, the ADHERE and GWTG risk scores were calculated from admission data. There were 176 (3.0%) and 399 (6.7%), 869 (14.7%), and 1272 (21.5%) deaths in-hospital and at 30, 90, and 180 days postdischarge, respectively. The GWTG but not ADHERE risk score was well calibrated for in-hospital mortality. Both the ADHERE (C statistic 0.66 and 0.67, 0.64, and 0.64) and GWTG (C statistic 0.74 and 0.73, 0.71, and 0.70) HF risk scores were similarly predictive of in-hospital and 30-, 90-, and 180-day postdischarge mortality. The ADHERE risk score identified 10% and the GWTG risk score identified 20% of hospitalizations where 180-day postdischarge mortality was 50%, a prognostic bench mark for hospice referral. In contrast, hospitalizations characterized as lowest risk by the ADHERE (57% of hospitalizations; 180-day mortality 16.2%) or GWTG score (20% of hospitalizations; 180-day mortality 8.0%) had substantially lower mortality (odds ratios high versus low risk of 5-8 [ADHERE] and 11-18 [GWTG] across time points;
conclusionsThe simple ADHERE and GWTG scores stratify hospitalized HF patients for both inpatient and early postdischarge mortality risk, allowing comprehensive risk assessment on admission.
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