CARRESS-HF Renal Decompensation Score: Explanation and Clinical Context The CARRESS-HF Renal Decompensation Score is a clinical tool designed to predict the risk of worsening renal function in patients hospitalized for acute decompensated heart failure. It incorporates patient age, baseline renal function (serum creatinine, BUN), systolic blood pressure, and urine output to stratify risk.
This score helps clinicians identify patients at high risk for renal injury, guiding careful diuretic management and monitoring strategies.
The total points categorize patients into low, intermediate, or high risk of renal decompensation.
Reference:
Givertz MM, et al. "Renal Function and Decongestion in Acute Decompensated Heart Failure." J Am Coll Cardiol. 2012;59:1320–1328. doi:10.1016/j.jacc.2011.11.034