The Cardiovascular
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ADHERE algorithm for acute decompensated heart failure

In-hospital mortality risk stratification in ADHF.

ADHERE algorithm for acute decompensated heart failure
Blood urea nitrogen (BUN)
mg/dL
Systolic blood pressure
mmHg
Serum creatinine
Complete the fields above to see the result.

When to use

  • Bedside risk stratification for in-hospital mortality in acute decompensated heart failure.

Formula

Classification tree: BUN <43 mg/dL and SBP >=115 -> low; else split on SBP >=115 and, when BUN >=43 with SBP <115, on creatinine >=2.75 mg/dL.

References

  1. Fonarow GC, et al. JAMA. 2005;293(5):572-580.