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      Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    GWTG-Heart Failure Risk Score

    Predicts in-hospital all-cause heart failure mortality.
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    When to Use
    Pearls/Pitfalls
    Why Use

    Admitted patients with LV dysfunction (systolic or diastolic).

    • The GWTG-HF Risk Score estimates all-cause in-hospital mortality in admitted patients with heart failure.
    • The risk score can be used to guide medical therapy in high-risk patients.
    • Makes use of routinely collected clinical data to predict in-hospital mortality for patients hospitalized with HF.
    • Scores range from 0 to 100, with scores 0-33 having <1% probability of death to scores over 79 having >50% probability of death.
    • Can be used in patients with preserved or impaired LV systolic function.

    Improves quality of care provided to patients hospitalized with HF by optimizing treatment options based on risk score.

    mm Hg
    mg/dL
    mEq/L
    years
    beats/min
    No
    +3
    Yes
    0
    No
    0
    Yes
    +2

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    • If the score identifies the patient to be high risk, early consultation to cardiology is crucial to appropriately treat these patients and reduce risk of readmission.
    • Appropriate planning and care coordination between multidisciplinary teams, and early and frequent follow-up in the cardiologist’s office is essential.
    • Evidence-based guideline directed medical therapy is meant to be used for both high and low risk patients with CHF. However, in the era of resource constraints, these limited resources may not be allocated to low risk patients.
    Content Contributors
    Reviewed By
    • Vijay Shetty, MBBS
    About the Creator
    Dr. Gregg Fonarow
    Content Contributors
    Reviewed By
    • Vijay Shetty, MBBS