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@article{1322344,
author = {Špinar, Jindřich and Jarkovský, Jiří and Špinarová, Lenka and Mebazaa, Alexandre and Gayat, Etienne and Vítovec, Jiří and Linhart, Ales and Widimsky, Petr and Miklik, Roman and Zeman, Kamil and Belohlavek, Jan and Malek, Filip and Felšőci, Marián and Kettner, Jiri and Ostadal, Petr and Cihalik, Cestmir and Vaclavik, Jan and Taborsky, Miloš and Dušek, Ladislav and Littnerová, Simona and Pařenica, Jiří},
article_location = {Shannon},
article_number = {"neuvedeno"},
doi = {http://dx.doi.org/10.1016/j.ijcard.2015.08.187},
keywords = {Acute heart failure; Prognosis; Model; Mortality},
language = {eng},
issn = {0167-5273},
journal = {International Journal of Cardiology},
title = {AHEAD score - Long-term risk classification in acute heart failure},
volume = {202},
year = {2016}
}
TY - JOUR
ID - 1322344
AU - Špinar, Jindřich - Jarkovský, Jiří - Špinarová, Lenka - Mebazaa, Alexandre - Gayat, Etienne - Vítovec, Jiří - Linhart, Ales - Widimsky, Petr - Miklik, Roman - Zeman, Kamil - Belohlavek, Jan - Malek, Filip - Felšőci, Marián - Kettner, Jiri - Ostadal, Petr - Cihalik, Cestmir - Vaclavik, Jan - Taborsky, Miloš - Dušek, Ladislav - Littnerová, Simona - Pařenica, Jiří
PY - 2016
TI - AHEAD score - Long-term risk classification in acute heart failure
JF - International Journal of Cardiology
VL - 202
IS - "neuvedeno"
SP - 21-26
EP - 21-26
PB - Elsevier Ireland LTD
SN - 01675273
KW - Acute heart failure
KW - Prognosis
KW - Model
KW - Mortality
N2 - Background: The role of co-morbidities in the prognosis of patients hospitalized for AHFwas examined using the AHEAD (A — atrial fibrillation, H — haemoglobin b 130 g/l for men and 120 g/l for women (anaemia), E — elderly (age N 70 years), A — abnormal renal parameters (creatinine N 130 micromol/l), D — diabetes mellitus) scoring system. Methods: AHEAD — multicentre prospective Czech registry of AHF patients; GREAT registry — international cohort of AHF patients. Data from 5846 consecutive patients hospitalized for AHF (AHEAD registry; derivation cohort) were analysed to build the AHEAD score. Each risk factor of the AHEAD score was counted as 1 point. The model was validated externally using an international cohort of similar patients in the GREAT registry (6315). Results:Main outcome was one year all-cause mortality. The mean age of patientswas 72±12 years,with 61.6% of patients aged N70 years; 43.4% were women. Atrial fibrillation was present in 30.7%, anaemia in 38.2%, creatinine N130mmol/l (abnormal renal parameters) in 30.1%, and diabetes mellitus in 44.0%. The mean AHEAD score was 2.1. In patients with AHEAD scores of 0–5, the one-year mortality rates were 13.6%, 23.4%, 32.0%, 41.1%, 47.7%, and 58.2%, respectively (p b 0.001), and the 90 month mortality rates were 35.1%, 57.3%, 73.5%, 84.8%, 88.0%, and 91.7%, respectively (p b 0.001). Conclusion: The AHEAD is a simple scoring system based on the analysis of co-morbidities for the estimation of the short and long term prognosis of patients hospitalized for AHF.
ER -
ŠPINAR, Jindřich, Jiří JARKOVSKÝ, Lenka ŠPINAROVÁ, Alexandre MEBAZAA, Etienne GAYAT, Jiří VÍTOVEC, Ales LINHART, Petr WIDIMSKY, Roman MIKLIK, Kamil ZEMAN, Jan BELOHLAVEK, Filip MALEK, Marián FELŠ$\backslash$H OCI, Jiri KETTNER, Petr OSTADAL, Cestmir CIHALIK, Jan VACLAVIK, Miloš TABORSKY, Ladislav DUŠEK, Simona LITTNEROVÁ and Jiří PAŘENICA. AHEAD score - Long-term risk classification in acute heart failure. \textit{International Journal of Cardiology}. Shannon: Elsevier Ireland LTD, 2016, vol.~202, ''neuvedeno'', p.~21-26. ISSN~0167-5273. Available from: https://dx.doi.org/10.1016/j.ijcard.2015.08.187.
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