PREDICTION OF MORTALITY USING GET WITH THE GUIDELINE HEART FAILIURE SCORE (GWTG-HF), ITS COMPARISON WITH APACHE 2 SCORE AND ITS CORRELATION WITH NTPRO BNP LEVELS: A STUDY AMONG PATIENTS OF ACUTE DECOMPENSATED HEART FAILURE FROM SOUTH EAST ASIAN REGION

Objectives To study Get with the guidelines heart failure Score (GWTG-HF) among patients of acute decompensated heart failure, correlate it with outcome of survival or death till 4 week of illness, compare its performance with APACHE 2 score and to Compare its results with NT PROBNP in predicting mortality amongst patient of south east Asian ethnicity. Study design prospective observational study at medical wards and ICUs in the Department of Cardiology, SMS medical college. Methods In this study 300 patients of acute decompensated heart failure, as per Framingham criteria were analyzed and each patient underwent a complete clinical evaluation along with calculation of GWTG HF and APACHE 2 score. All the patients had NT pro BNP test within 48 hours of admission. Patient were then followed till 4 weeks of illness for outcome of survival or death, whichever occurred earlier. GWTG HF score of the patient was then compared with APACHE 2 score and it was correlated with the outcome of patients and NT pro BNP levels. Results The GWTG-HF score could predict the outcome of survival and death in ADHF patients of south east Asian ethnicity. When compared, APACHE 2 score performed better than GWTG-HF score in predicting outcome. However, GWTG-HF score was easily calculated at the bedside and was easy to use. GWTG-HF score correlated with NT-pro BNP levels with rising score having higher NT pro BNP levels.