MỐI LIÊN QUAN GIỮA CHỈ SỐ FIBROSIS-4 VÀ MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN SUY TIM CẤP NHẬP VIỆN

Abstract

Objective: To evaluate the association between the FIB-4 index and clinical as well as paraclinical characteristics in hospitalized patients with acute heart failure. Methods: A cross-sectional descriptive study was conducted on 349 patients aged ≥18 years who were hospitalized for acute heart failure at the Department of Cardiology, University Medical Center Ho Chi Minh City from March 2024 to March 2025. Results: Mean age, prevalence of atrial fibrillation, AST, ALT, NT-proBNP levels, and pulmonary artery pressure increased progressively across FIB-4 groups (p < 0.05). Conversely, BMI and platelet count decreased in patients with higher FIB-4 scores. No significant differences were observed in left ventricular ejection fraction or serum sodium levels among the groups. A high FIB-4 score reflected greater disease severity and multi-organ involvement. Conclusion: The FIB-4 index is closely associated with clinical and paraclinical parameters in patients hospitalized with acute heart failure. It serves as a simple marker for risk screening and stratification, supporting optimal assessment and management of these patients.