Tischer Tina S, Schneider Ralph, Lauschke Jörg, Diedrich Doreen, Kundt Günther, Bänsch Dietmar
Heart Center Rostock, Uniklinik Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Germany.
Herz. 2015 Aug;40(5):803-8. doi: 10.1007/s00059-015-4305-4. Epub 2015 May 5.
The HATCH score [hypertension, age > 75 years, previous transient ischemic attack (TIA) or stroke (doubled), chronic obstructive pulmonary disease, heart failure (doubled)] has been established to identify patients who are at risk of developing persistent forms of AF. We investigated whether this score is associated with the prevalence of AF in order to guide diagnostic efforts and therapy.
The data of 150,408 consecutive patients who were hospitalized at the University Hospital of Rostock between 2007 and 2012 were analyzed. Factors constituting the HATCH score and the presence of AF were prospectively documented using ICD-10 admission codes.
Patients were 67.6 ± 13.6 years of age with a mean HATCH score of 1.48 ± 1.02; 16 % had a history of AF and 4 % suffered a TIA or stroke. The prevalence of AF increased significantly with the HATCH score up to 60.0 % (p < 0.001). In all, 63 % of the patients had a HATCH score of 0 and 1 without any history of stroke.
The HATCH score correlates with the occurrence of AF, since the prevalence of AF rises with rising score values. Therefore, the HATCH score may be used to select patients for intensified ECG monitoring. Moreover, the score may also be used for stroke risk assessment, as none of the patients with a low HATCH score suffered a stroke.
已建立HATCH评分[高血压、年龄>75岁、既往短暂性脑缺血发作（TIA）或卒中（加倍）、慢性阻塞性肺疾病、心力衰竭（加倍）]以识别有发生持续性房颤风险的患者。我们调查了该评分是否与房颤患病率相关，以指导诊断工作和治疗。
分析了2007年至2012年间在罗斯托克大学医院连续住院的150408例患者的数据。使用ICD - 10入院编码前瞻性记录构成HATCH评分的因素和房颤的存在情况。
患者年龄为67.6±13.6岁，平均HATCH评分为1.48±1.02；16%有房颤病史，4%曾发生TIA或卒中。房颤患病率随HATCH评分显著增加，最高可达60.0%（p<0.001）。总体而言，63%的患者HATCH评分为0或1，且无任何卒中病史。
HATCH评分与房颤的发生相关，因为房颤患病率随评分值升高而上升。因此，HATCH评分可用于选择患者进行强化心电图监测。此外，该评分也可用于卒中风险评估，因为HATCH评分低的患者均未发生卒中。
