MDCalc

Acute Decompensated Heart Failure National Registry (ADHERE) Algorithm

Predicts in-hospital mortality in patients with heart failure (HF).

BUN ≥43 mg/dL (15.35 mmol/L)

sBP <115 mmHg

Result:

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Advice
  • If the algorithm identifies the patient to be high risk, early consultation to cardiology is crucial to appropriately treat these patients and reduce risk of readmission.
  • Appropriate planning and care coordination between multidisciplinary teams, and early and frequent follow-up in the cardiologist’s office is essential.
  • Evidence-based guideline directed medical therapy is meant to be used for both high and low risk patients with CHF. However, in the era of resource constraints, these limited resources may not be allocated to low risk patients.