Martín Sánchez, Francisco JavierLlopis García, G.González-Colaço Harmand, MagaliFernández Pérez, CristinaGonzález del Castillo, JuanLlorens, PereHerrero Puente, PabloJacob, JavierGil, VíctorDomínguez Rodríguez, Alberto2018-10-302018-10-302020Martín-Sánchez, F. J., Llopis García, G., González-Colaço Harmand, M., Fernández Pérez, C., González Del Castillo, J., Llorens, P., Herrero, P., Jacob, J., Gil, V., Domínguez-Rodríguez, A., Rosselló, X., Miró, O., en representación de los investigadores del Registro OAK, & Resto de investigadores del registro OAK (2020). Identification of Senior At Risk scale predicts 30-day mortality among older patients with acute heart failure. La escala Identification of Senior at Risk predice la mortalidad a los 30 días en los pacientes mayores con insuficiencia cardiaca aguda. Medicina intensiva, 44(1), 9–17. https://doi.org/10.1016/j.medin.2018.07.0090210-56911578-6749http://hdl.handle.net/11268/7531OBJECTIVE: To assess the value of frailty screening tool (Identification of Senior at Risk [ISAR]) in predicting 30-day mortality risk in older patients attended in emergency department (ED) for acute heart failure (AHF). DESIGN: Observational multicenter cohort study. SETTING: OAK-3 register. SUBJECTS: Patients aged ≥65 years attended with ADHF in 16 Spanish EDs from January to February 2016. INTERVENTION: No. VARIABLES: Variable of study was ISAR scale. The outcome was all-cause 30-day mortality. RESULTS: We included 1059 patients (mean age 85±5,9 years old). One hundred and sixty (15.1%) cases had 0-1 points, 278 (26.3%) 2 points, 260 (24.6%) 3 points, 209 (19.7%) 4 points, and 152 (14.3%) 5-6 points of ISAR scale. Ninety five (9.0%) patients died within 30 days. The percentage of mortality increased in relation to ISAR category (lineal trend P value <.001). The area under curve of ISAR scale was 0.703 (95%CI 0.655-0.751; P<.001). After adjusting for EFFECT risk categories, we observed a progressive increase in odds ratios of ISAR scale groups compared to reference (0-1 points). CONCLUSIONS: scale is a brief and easy tool that should be considered for frailty screening during initial assessment of older patients attended with AHF for predicting 30-day mortality.engjournal article10.1016/j.medin.2018.07.009restricted accessAncianosMortalidadInsuficiencia cardiacaAncianoMortalidadEnfermedad cardiovascular