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- Title
H<sub>2</sub>FPEF score predicts 1-year rehospitalisation of patients with heart failure with preserved ejection fraction.
- Authors
Yifei Tao; Wenjing Wang; Jing Zhu; Tao You; Yi Li; Xiang Zhou; Tao, Yifei; Wang, Wenjing; Zhu, Jing; You, Tao; Li, Yi; Zhou, Xiang
- Abstract
<bold>Background: </bold>Heart failure with preserved ejection fraction (HFpEF) has received widespread attention in recent years. There is currently a lack of valuable predictors for the prognosis of this disease. Here, we aimed to identify a non-invasive scoring system that can effectively predict 1-year rehospitalisation for patients with HFpEF.<bold>Methods: </bold>We included 151 consecutive patients with HFpEF in a prospective cohort study and investigated the association between H2FPEF score and 1-year readmission for heart failure using multivariate Cox regression analysis.<bold>Results: </bold>Our findings indicated that obesity, age >70 years, treatment with ≥2 antihypertensives, echocardiographic E/e' ratio >9 and pulmonary artery pressure >35 mm Hg were independent predictors of 1-year readmission. Three models (support vector machine, decision tree in R and Cox regression analysis) proved that H2FPEF score could effectively predict 1-year readmission for patients with HFpEF (area under the curve, 0.910, 0.899 and 0.771, respectively; p<0.001).<bold>Conclusion: </bold>Our study demonstrates that the H2FPEF score has excellent predictive value for 1-year rehospitalisation of patients with HFpEF.
- Subjects
HEART failure patients; SUPPORT vector machines; PULMONARY artery; PATIENT readmissions; REGRESSION analysis; PREDICTIVE tests; PROGNOSIS; HOSPITAL care; DECISION making; STROKE volume (Cardiac output); HEART failure; LONGITUDINAL method
- Publication
Postgraduate Medical Journal, 2021, Vol 97, Issue 1145, p164
- ISSN
0032-5473
- Publication type
journal article
- DOI
10.1136/postgradmedj-2019-137434