Home › Heart Failure Scores › EHMRG (Emergency Heart Failure Mortality Risk Grade) Calculator

EHMRG (Emergency Heart Failure Mortality Risk Grade) Calculator

  • Age (years)
  • Systolic Blood Pressure (mmHg)
  • Heart Rate (bpm)
  • Oxygen Saturation (%)
  • Serum Creatinine (mg/dL)
  • Troponin Elevated? (1 = Yes, 0 = No)
  • History of COPD? (1 = Yes, 0 = No)
  • History of Pneumonia? (1 = Yes, 0 = No)
  • Ambulance Transported? (1 = Yes, 0 = No)
  • History of Active Cancer? (1 = Yes, 0 = No)
  • Metolazone Use? (1 = Yes, 0 = No)
  • EHMRG (Emergency Heart Failure Mortality Risk Grade): Explanation and Clinical Context
    EHMRG is a validated risk scoring tool developed to predict short-term mortality (typically 7-day) in patients presenting to the emergency department with acute decompensated heart failure.
    It incorporates readily available clinical and laboratory variables including age, systolic blood pressure, heart rate, oxygen saturation, serum creatinine, troponin elevation, and history of comorbidities such as COPD, pneumonia, active cancer, and metolazone use.
    The total score stratifies patients into very low, low, intermediate, high, very high, or extremely high risk categories for early mortality, helping clinicians in triage, decision-making regarding hospital admission, and allocation of monitoring resources.

    Reference:
    Lee DS, et al. "Prospective Validation of the Emergency Heart Failure Mortality Risk Grade for Acute Heart Failure." *Circulation.* 2019;139(3):357-366. doi:10.1161/CIRCULATIONAHA.118.035509