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RISK-HF Readmission Score Calculator

  • Age (years)
  • History of heart failure hospitalisation (yes = 1, no = 0)
  • Chronic kidney disease (CKD) (yes = 1, no = 0)
  • Chronic obstructive pulmonary disease (COPD) or OSA (yes = 1, no = 0)
  • Atrial fibrillation (AF) (yes = 1, no = 0)
  • Anaemia (yes = 1, no = 0)
  • Diabetes mellitus (DM) (yes = 1, no = 0)
  • History of myocardial infarction (MI) (yes = 1, no = 0)
  • RISK-HF Readmission Score: Explanation and Clinical Context
    The RISK-HF Readmission Score is a prognostic model designed to estimate the risk of hospital readmission for patients discharged after an episode of heart failure decompensation. It utilises easily available clinical variables (such as age, prior heart failure hospitalisation, chronic kidney disease, COPD/OSA, atrial fibrillation, anaemia, diabetes mellitus, and history of myocardial infarction). The scoring assigns 0.5 or 1.0 points for each relevant variable based on hazard ratios derived in observational cohorts. For instance, age > 75 years adds 0.5 points; a prior heart failure hospitalisation, CKD, or COPD/OSA each add 1.0 point. The total score stratifies patients into lower versus higher risk categories — in studies, a threshold around ≥ 2.0 points differentiated a population with significantly higher 1-year readmission incidence.

    Reference:
    Rubini A, Vilaplana-Prieto C, Vázquez-Jarén E, Hernández-González M, Félix-Redondo FJ, Fernández-Bergés D. “Analysis and prediction of readmissions for heart failure in the first year after discharge with INCA score.” Sci Rep. 2023;13:22477. doi:10.1038/s41598-023-49390-w.

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