prikaz prve stranice dokumenta A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure
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A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure
Acta Clinica Belgica, 73 (2018), 3; 199-206. https://doi.org/10.1080/17843286.2018.1483562
Dvornik, Štefica; Zaninović Jurjević, Teodora; Jurjević, Nikola; Lekić, Amalija; Zaputović, Luka

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Dvornik, Š., Zaninović Jurjević, T., Jurjević, N., Lekić, A. i Zaputović, L. (2018). A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure. Acta Clinica Belgica, 73. (3), 199-206. doi: 10.1080/17843286.2018.1483562

Dvornik, Štefica, et al. "A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure." Acta Clinica Belgica, vol. 73, br. 3, 2018, str. 199-206. https://doi.org/10.1080/17843286.2018.1483562

Dvornik, Štefica, Teodora Zaninović Jurjević, Nikola Jurjević, Amalija Lekić i Luka Zaputović. "A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure." Acta Clinica Belgica 73, br. 3 (2018): 199-206. https://doi.org/10.1080/17843286.2018.1483562

Dvornik, Š., et al. (2018) 'A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure', Acta Clinica Belgica, 73(3), str. 199-206. doi: 10.1080/17843286.2018.1483562

Dvornik Š, Zaninović Jurjević T, Jurjević N, Lekić A, Zaputović L. A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure. Acta Clinica Belgica [Internet]. 2018. [pristupljeno 13.11.2024.];73(3):199-206. doi: 10.1080/17843286.2018.1483562

Š. Dvornik, T. Zaninović Jurjević, N. Jurjević, A. Lekić i L. Zaputović, "A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure", Acta Clinica Belgica, vol. 73, br. 3, str. 199-206, 2018. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:184:870020. [Citirano: 13.11.2024.]

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Podaci o radu
Naslov (engleski)A simple prognostic model for assessing in-hospital mortality risk in patients with acutely decompensated heart failure
AutorŠtefica Dvornik
AutorTeodora Zaninović Jurjević
AutorNikola Jurjević
AutorAmalija Lekić
AutorLuka Zaputović
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za internu medicinu)
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za kliničko-laboratorijsku dijagnostiku)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Interna medicina
Sažetak (engleski)
Background: An assessing of the in-hospital mortality risk for an emergency hospitalized patient with acutely decompensated heart failure (ADHF) is challenging task. Simple formula can help. Methods: On the base of six indicators identified in derivation group, simple formula for assessing the risk for in-hospital mortality of ADHF patients was derived and later tested in validation group. Results: The retrospective analysis of a derivation group (533 survivors, 121 deceased) identified six risk indicators: age, heart rate (HR), systolic blood pressure (SBP) and serum concentrations of urea, sodium (Na) and uric acid (UA). The final formula was created ([age/10]2 HR/SBP)+(Urea-Na/10)+UA/100 and formula result of 53 was established as cut-off result. In the derivation group, at the cut-off point of 53, area under the ROC curve (AUC) was 0.741 (95% CI 0.7010.776) ; with sensitivity 54% and specificity 83%. The discriminative capacity of the formula was significantly higher than each of its components. In the validation group of 591 patients (527 survived, 64 died) AUC was also 0.741 (95% CI 0.7060.774), sensitivity was 66% and specificity 76%. Positive predictive value (PPV) of the developed formula was modest (34%), but negative predictive value (NPV) was 95%. N-terminal pro-B type natriuretic peptide and troponin I were determined, but not included into formula. Conclusions: The developed formula enables simple, rapid and inexpensive risk assessment, but its disadvantage is a low PPV. However, a high NPV permits the identification of patients with a low risk of in-hospital mortality, which could lead to a more rational patient treatment.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaActa Clinica Belgica
Brojčani podacivol. 73, br. 3, str. 199-206
p-ISSN1784-3286
e-ISSN2295-3337
DOIhttps://doi.org/10.1080/17843286.2018.1483562
URN:NBNurn:nbn:hr:184:870020
Datum objave publikacije2018
URL dokumentahttp://bib.irb.hr/942048
URL dokumentahttps://www.tandfonline.com/doi/full/10.1080/17843286.2018.1483562
Vrsta resursaTekst
Prava pristupaZatvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2018-06-15 16:35:54