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Acute Decompensated Heart Failure National Registry (ADHERE) Algorithm

CardiologyHeart failureRisk stratificationBeta toolThis tool is in beta. It has undergone internal validation but still requires additional testing. Always confirm the data entered and the results obtained before clinical use. It should not be used as the sole basis for clinical decisions.
Use the admission or presentation value in mg/dL without SI conversion.
mg/dL
Use the admission or presentation systolic blood pressure.
mm Hg
Use the admission or presentation creatinine in mg/dL.
mg/dL

Clinical noticeEducational bedside risk-stratification aid only. Use only in the original hospitalized ADHF context and never as a standalone treatment or disposition rule.

Context and use

If BUN <43 mg/dL, in-hospital mortality = 2.1%.

Otherwise, if SBP >=115 mm Hg, mortality = 5.3%; if SBP <115 and creatinine <2.75 mg/dL, mortality = 12.2%; if creatinine >=2.75 mg/dL, mortality = 21.9%.

Certifications and Compliance

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