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Comparison of SABIHA and 3CPO scores for 30-day mortality in acute heart failure
1Department of Emergency Medicine, Ümraniye Training and Research Hospital, Istanbul, Turkey.
Insights
The SABIHA score better predicts 30-day mortality in acute heart failure (AHF) patients than the 3CPO score. SABIHA is a valuable tool for risk stratification in AHF.
Area of Science:
- Cardiology
- Clinical Medicine
- Health Outcomes
Background:
- Acute heart failure (AHF) is a leading cause of hospitalization.
- Accurate risk stratification is crucial for managing AHF patients.
- Predictive scoring systems aid in assessing mortality risk.
Purpose of the Study:
- To compare the predictive accuracy of the SABIHA and 3CPO scores.
- To evaluate the utility of these scores for 30-day mortality prediction in AHF.
- To determine the most effective tool for risk stratification in AHF.
Main Methods:
- Retrospective observational study of adult AHF patients presenting to the emergency department.
- Collection of demographic, clinical, laboratory, and echocardiographic data.
- Calculation and comparison of SABIHA and 3CPO scores at presentation.
Main Results:
- Data from 342 patients (15% 30-day mortality) were analyzed.
- SABIHA scores were significantly higher in non-survivors (p<0.001).
- SABIHA score independently predicted 30-day mortality (OR: 1.791), unlike 3CPO (p=0.184).
Conclusions:
- The SABIHA score exhibits superior performance in predicting 30-day mortality in AHF.
- SABIHA score is a more effective tool for risk stratification in AHF compared to 3CPO.
- SABIHIA score can aid clinicians in managing AHF patients.
Objective:
This study compared the predictive power of Systolic blood pressure, Age, Blood urea nitrogen, Intubation, Heart rate, Anemia (SABIHA) and Three Clinical Criteria for Pulmonary edema (3CPO) scores for 30-day mortality in acute heart failure (AHF).
Materials And Methods:
This retrospective observational study included adult patients presenting to the emergency department with AHF who were subsequently hospitalized. The demographic data, clinical findings, laboratory results, and echocardiographic parameters of the patients were recorded. SABIHA and 3CPO scores were calculated using data obtained at the time of presentation.
Results:
Data of 342 patients were analyzed, of whom 291 (85%) survived and 51 (15%) died. The median SABIHA score was found to be 2 (2-3) in the survivor group, whereas it was 3 (2-4) in the non-survivor group (p < 0.001). Similarly, the median 3CPO score for the entire cohort was determined to be 2 (1-3). In the survivor group, the median 3CPO score was 2 (1-3), while it was 3 (2-4) in the non-survivor group (p = 0.005). Multivariable analysis demonstrated that both the SABIHA score (OR: 1.84, 95% CI: 1.37-2.48; p < 0.001) and the 3CPO score (OR: 1.29, 95% CI: 1.08-1.54; p = 0.005) remained independent predictors of 30-day mortality.
Conclusion:
Both the SABIHA and 3CPO scores demonstrated comparable discriminative performance for predicting 30-day mortality in patients with AHF. Although the SABIHA score showed a numerically higher area under the curve and remained an independent predictor in multivariable analysis, the difference in discriminative performance between the two scores was not statistically significant. Therefore, both scores may be useful for early risk stratification, while larger prospective studies are needed to further compare their prognostic performance.
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