Heart Risk 6 Scale in Emergency Department Acute Heart Failure Patients

Not yet recruiting

• Conditions: Acute Heart Failure (AHF)

• Registration Number: NCT06664073
• Lead Sponsor: Assiut University

Brief Summary

Detect the predictive value of the HEARTRISK6 Scale in Predicting Short-Term Serious Outcomes in emergency department acute heart failure patients in Egyptian population

Detailed Description

Recently, the heartrisk6 scale was introduced to predict the short-term serious outcomes in emergency department acute heart failure patients. It was created from 3 cohorts from American and Canadian population. Since the Egyptian population differ from the American and Canadian population regarding the age at presentation with cardiovascular disease, risk factors and etiology of the acute heart failure, we sought to detect the applicability of this score on our population.

Study Timeline

• Status Verified: 2024-10
• Study Start: 2024-10-27
• Study First Submitted: 2024-10-27
• Study First Submitted QC: 2024-10-27
• Last Update Submitted: 2024-10-27
• Study First Posted: 2024-10-29
• Last Update Posted: 2024-10-29
• Primary Completion: 2025-10-27
• Study Completion: 2027-10-27

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 125

Inclusion Criteria

• patients who have appropriate symptoms (short-ness of breath or fatigue)(<7 days duration); with clinical signs of fluid retention (pulmonary or peripheral) in the presence of an underlying abnormality of cardiac structure or function.

  • If in doubt, a beneficial response to treatment (eg, a brisk diuresis accompanied by improvement in breathlessness) will be considered.

Exclusion Criteria

• Patients who did not fit the definition of AHF or who were clearly too ill to be considered for discharge after 24 hours from ED:

  • 1. resting oxygen saturation <85% on room air
  • 2. heart rate >120 beats/min;
  • 3. systolic blood pressure <85 mm Hg;
  • 4. confusion, disorientation, dementia;
  • 5. primary presentation for ischemic chest pain requiring treatment or with acute ischemic ST-Tchanges on initial electrocardiogram (ECG);

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Detect the predictive value of the heart risk 6 scale	1 month	-Detect the predictive value of the HEARTRISK6 Scale in Predicting Short-Term Serious Outcomes in the emergency department acute heart failure patients.

Secondary Outcome Measures

Name	Time	Method
Describe the management and outcomes of ED patients with acute heart failure	1	-Describe the management and outcomes of ED patients with acute heart failure, identify the various etiologies of this presentation, and characteristics and risk factors of this population.