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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
Predicting diuretic efficiency in critically ill patients with acute decompensated heart failure: External validation
Emmanuel Otabor1, Justin Lam1, Laith Alomari1
1Department of Medicine, Jefferson Einstein Philadelphia Hospital, Philadelphia, PA, USA.
Abstract:
In a critically ill cohort of 1505 patients with acute decompensated heart failure, the BAN-ADHF score was inversely associated with diuretic efficiency (Spearman ρ = -0.518) and discriminated the lowest-efficiency quintile (AUROC 0.780 at 24 h; 0.769 at 72 h), with efficiency falling more than four-fold across risk categories. This first external validation in an intensive-care population extends the evidence for BAN-ADHF to patients excluded from prior cohorts and supports prospective evaluation of score-guided decongestive strategies in critical illness.
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