Do ED Decisions to Admit Heart Failure Patients Correlate with MEESSI-AHF Risk Stratification?

In a retrospective Spanish cohort, almost half of discharged patients were not classified as low risk by the MEESSI-AHF tool, but those patients did not have higher mortality.

Most emergency department (ED) patients with acute heart failure (AHF) are admitted. Recently, researchers derived and validated the MEESSI-AHF decision aid, which risk-stratifies patients with AHF based on 13 criteria, including hypertrophy, troponin level, and Barthel Index (NEJM JW Emerg Med Nov 2017 and Ann Intern Med 2017; 167:698). Now, the same researchers evaluated whether ED disposition decisions correlated with MEESSI-AHF risk stratification.

Using records for a new cohort of patients with AHF in 34 EDs in Spain, the researchers retrospectively calculated MEESSI-AHF scores, categorized patients as low risk or non–low risk, and determined ED disposition. Mortality, ED revisits, and rehospitalization at 30 days were analyzed by dispo…

Reviewing Author

Benton R. Hunter, MD

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair, Evidence Based Healthcare Interest Group)

Benton R. Hunter, MD

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair, Evidence Based Healthcare Interest Group)

Do ED Decisions to Admit Heart Failure Patients Correlate with MEESSI-AHF Risk Stratification?

Topics

Reviewing Author