Comparison of SABIHA and 3CPO scores for 30-day mortality in acute heart failure.

OBJECTIVE

This study compared the predictive power of Systolic blood pressure, Age, Blood urea nitrogen, Intubation, Heart rate, Anemia (SABIHA) and Three Clinical Criteria for Pulmonary edema (3CPO) scores for 30-day mortality in acute heart failure (AHF).

MATERIALS AND

METHODS

This retrospective observational study included adult patients presenting to the emergency department with AHF who were subsequently hospitalized. The demographic data, clinical findings, laboratory results, and echocardiographic parameters of the patients were recorded. SABIHA and 3CPO scores were calculated using data obtained at the time of presentation.

RESULTS

Data of 342 patients were analyzed, of whom 291 (85%) survived and 51 (15%) died. The median SABIHA score was found to be 2 (2-3) in the survivor group, whereas it was 3 (2-4) in the non-survivor group (p < 0.001). Similarly, the median 3CPO score for the entire cohort was determined to be 2 (1-3). In the survivor group, the median 3CPO score was 2 (1-3), while it was 3 (2-4) in the non-survivor group (p = 0.005). Multivariable analysis demonstrated that both the SABIHA score (OR: 1.84, 95% CI: 1.37-2.48; p < 0.001) and the 3CPO score (OR: 1.29, 95% CI: 1.08-1.54; p = 0.005) remained independent predictors of 30-day mortality.

CONCLUSION

Both the SABIHA and 3CPO scores demonstrated comparable discriminative performance for predicting 30-day mortality in patients with AHF. Although the SABIHA score showed a numerically higher area under the curve and remained an independent predictor in multivariable analysis, the difference in discriminative performance between the two scores was not statistically significant. Therefore, both scores may be useful for early risk stratification, while larger prospective studies are needed to further compare their prognostic performance.