Effectiveness Analysis of The I NEED HELP Scale For Prognostic Evaluation of Heart Transplant Waiting List Patients DOI Creative Commons
V. A. Znamensky,

K. V. Chelnyntsev,

Mikhail Lisovsky

et al.

Kardiologiia, Journal Year: 2025, Volume and Issue: 65(2), P. 64 - 68

Published: Feb. 28, 2025

Aim To evaluate the efficacy of I NEED HELP scale in determining six-month prognosis for patients on heart transplant waiting list (HTWL) Almazov National Medical Research Center Russian Ministry Health. Material and methods This retrospective study included 42 from HTWL. The patients’ survival more than 6 months was assessed. composite end point (CEP) adverse outcome all-cause death, transplantation (HT) due to increased urgency surgical intervention according UNOS within after inclusion Patients were evaluated using scale. Statistical analysis performed by nonparametric methods. Results median score 4 [from 1 7]. increase positively correlated with incidence outcomes (r=0.5; p=0.0007). group an unfavorable had a higher one survivors (score 5 vs. 4, respectively; p=0.001). greatest effect exerted low systolic blood pressure (SBP) (p=0.003); failure or necessity decrease doses disease-modifying drugs (p=0.039); target organ dysfunction (p=0.039). sensitivity specificity at 100% 84%, respectively. Conclusion pilot demonstrated patient population specialized center HTWL high determined threshold outcome. It is appropriate continue expanded sample validation cohorts hospitals various healthcare system levels.

Language: Английский

Effectiveness Analysis of The I NEED HELP Scale For Prognostic Evaluation of Heart Transplant Waiting List Patients DOI Creative Commons
V. A. Znamensky,

K. V. Chelnyntsev,

Mikhail Lisovsky

et al.

Kardiologiia, Journal Year: 2025, Volume and Issue: 65(2), P. 64 - 68

Published: Feb. 28, 2025

Aim To evaluate the efficacy of I NEED HELP scale in determining six-month prognosis for patients on heart transplant waiting list (HTWL) Almazov National Medical Research Center Russian Ministry Health. Material and methods This retrospective study included 42 from HTWL. The patients’ survival more than 6 months was assessed. composite end point (CEP) adverse outcome all-cause death, transplantation (HT) due to increased urgency surgical intervention according UNOS within after inclusion Patients were evaluated using scale. Statistical analysis performed by nonparametric methods. Results median score 4 [from 1 7]. increase positively correlated with incidence outcomes (r=0.5; p=0.0007). group an unfavorable had a higher one survivors (score 5 vs. 4, respectively; p=0.001). greatest effect exerted low systolic blood pressure (SBP) (p=0.003); failure or necessity decrease doses disease-modifying drugs (p=0.039); target organ dysfunction (p=0.039). sensitivity specificity at 100% 84%, respectively. Conclusion pilot demonstrated patient population specialized center HTWL high determined threshold outcome. It is appropriate continue expanded sample validation cohorts hospitals various healthcare system levels.

Language: Английский

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