ArticleEuropean heart journal. Digital health2025
Cardiac autonomic function score: a novel risk stratification tool in the cardiac intensive care unit based on periodic repolarization dynamics and deceleration capacity of heart rate (LMU-eICU study).
Article in European heart journal. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aims: Treatment capacities on intensive care units (ICUs) are a limited resource reserved for high-risk patients. To facilitate risk stratification of ICU patients, several scoring systems have been developed over time. Among them, the Simplified Acute Physiology Score 3 (SAPS3) is the gold standard, but lacks specificity for cardiac ICU patients. Here, we propose a novel, fully automated, electrocardiogram-based cardiac autonomic risk stratification score (CAF Methods and results: CAF Conclusion: ECG-based automatic autonomic risk stratification by means of PRD and DC is highly predictive of short-term mortality in the ICU and can be combined with the SAPS3-Score to identify patients with increased risk for intrahospital mortality. This method can be integrated in conventional monitors and may improve risk stratification strategies in cardiac ICUs.
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