Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan.
Department of Cardiology, Shingu Municipal Medical Center, Shingu, Japan.
ESC Heart Fail. 2023 Jun;10(3):1717-1725. doi: 10.1002/ehf2.14325. Epub 2023 Feb 25.
Early risk stratification of patients with acute heart failure (AHF) is critical for appropriate triage and outcome improvement. The serum sodium, blood urea nitrogen, age, serum albumin, systolic blood pressure, and natriuretic peptide level (SOB-ASAP) score can predict in-hospital mortality of AHF. However, the relationship between the SOB-ASAP score and long-term prognosis is unknown. This study investigated the determinants of the long-term prognosis of AHF by evaluating the SOB-ASAP score.
This retrospective cohort study included all patients with acute decompensated heart failure who were admitted to our hospital between April 2017 and March 2018. And those who discharged were analysed retrospectively. The follow-up period was 3 years. Primary end point was all-cause death.
Total of 140 patients were analysed. The median SOB-ASAP score of entire cohort on admission was 3 points (interquartile range; 1-5). The Kaplan-Meier curve demonstrated that patients in the higher SOB-ASAP group (score ≥3) had a higher incidence of all-cause death (log-rank test; P < 0.001) than those in the lower SOB-ASAP (group score <3).
At admission, the SOB-ASAP score may be useful for predicting the long-term prognosis of hospitalized patients with AHF.
急性心力衰竭（AHF）患者的早期风险分层对适当的分诊和改善预后至关重要。血清钠、血尿素氮、年龄、血清白蛋白、收缩压和利钠肽水平（SOB-ASAP）评分可预测 AHF 患者的院内死亡率。然而，SOB-ASAP 评分与长期预后的关系尚不清楚。本研究通过评估 SOB-ASAP 评分来研究 AHF 长期预后的决定因素。
这是一项回顾性队列研究，纳入了 2017 年 4 月至 2018 年 3 月期间我院收治的所有急性失代偿性心力衰竭患者，对出院患者进行回顾性分析。随访时间为 3 年。主要终点是全因死亡。
共分析了 140 例患者。整个队列入院时的 SOB-ASAP 评分中位数为 3 分（四分位间距：1-5）。Kaplan-Meier 曲线表明，SOB-ASAP 评分较高组（评分≥3）的全因死亡率高于 SOB-ASAP 评分较低组（评分<3）（对数秩检验；P<0.001）。
入院时，SOB-ASAP 评分可用于预测住院 AHF 患者的长期预后。
