Evaluate the Predictive Impact of the MEESSI Score

NCT ID: NCT05340972

Last Updated: 2023-05-16

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 1500 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2009-01-15
• Study Completion Date: 2023-05-30

Brief Summary

Our primary purpose is to assess MEESSI score in predicting mortality and readmission of patients managed for acute heart failure (AHF) in Emergency Department.

European Society of Cardiology recommend risk stratification for patients with AHF.

Detailed Description

Improved risk stratification of acute heart failure (AHF) in the emergency department (ED) may help physicians' decisions regarding patient admission or early discharge disposition. The MEESSI-AHF (Multiple Estimation of risk based on the Emergency department Spanish Score In patients with AHF) score was developed to predict 30-day mortality in patients presenting with AHF EDs in Spain. Whether it performs well in other countries is unknown.

The MEESSI-AHF risk model includes 13 variables readily available on arrival to Emergency Department. The 40% of patients classified as LOW RISK (30-day mortality: <2%) should be considered as potential candidates to be early discharged from Emergency Department without admission after adequate response to initial treatment. The 10% of patients classified as VERY HIGH RISK (30-day mortality: >2%) may clearly benefit from hospital admission.

Objective: To externally validate the MEESSI-AHF score in another country.

Conditions

Emergencies; Heart Diseases

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Interventions

MEESSI score

The score aimed to predict the AHF patient's future in the month following management for ED

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• Major patient
• Patient admitted to emergencies with final diagnosis of AHF according to the opinion of two emergency experts after consulting the data from the clinical examination, cardiac echocardiography, and BNP level.
• Subject who accept to participate in the research

Exclusion Criteria

• Patient who refuse to participate in the study
• Patient with coronary syndrome with ST segment elevation
• Other causes of dyspnea
• Impossibility of giving the patient informed information
• Pregnant woman

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 95 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Monastir

OTHER

Sponsor Role: lead

Responsible Party

Pr. Semir Nouira

Pr.Semir Nouira chef of emergency deparment

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Semir Nouira, Pr

Role: PRINCIPAL_INVESTIGATOR

University of Monastir

Locations

Emergency department of University hospital Fattouma Bourguiba

Monastir, , Tunisia

Site Status: RECRUITING

Countries

Tunisia

Central Contacts

Semir Nouira, Professor

Role: CONTACT

semir.nouira@rns.tn

7310600 ext. 216

Khaoula Bel Haj Ali, MD

Role: CONTACT

belhajalikhaoula@yahoo.fr

7310600 ext. 216

Facility Contacts

semir nouira, professor

Role: primary

semir.nouira@rns.tn

73106000 ext. 216

Khaoula bel haj ali, MD

Role: backup

belhajalikhaoula@yahoo.fr

29777277 ext. 216

Other Identifiers

MEESSI 2022

Identifier Type: -

Identifier Source: org_study_id