ĐÁNH GIÁ BỆNH NHÂN SUY TIM CẤP THEO PHÂN GIAI ĐOẠN SCAI SHOCK TẠI KHOA HỒI SỨC TÍCH CỰC VÀ CHỐNG ĐỘC BỆNH VIỆN TIM MẠCH AN GIANG

Abstract

Background: A new 5-stage classification of acute heart failure (AHF) was recently introduced by the Society for Cardiovascular Imaging and Interventions (SCAI) with the purpose of stratifying the mortality risk of cardiogenic shock. Objective: To implement shock severity assessment for patients with AHF within the first 24 hours of hospitalization and monitor short-term treatment outcomes over 30 days based on the SCAI SHOCK stages. Population: All patients over 18 years old who were admitted to Intensive Care and Toxicology Unit and met the diagnostic criteria for AHF as established by ESC 2021 or were diagnosed with acute myocardial infarction and had consented to participate in the study. Method: This is a descriptive cross-sectional study. A convenience sampling technique and a structured questionnaire was used to collect the data. Results: Among 150 patients meeting the study criteria, the proportion of patients classified into SCAI SHOCK stage from A to E was 8.7%, 43.3%, 25.3%, 10.7%, and 12%, respectively. After a 30-day follow-up, the overall survival rate was 58%, with survival rates for each stage as follows: SCAI A 92.3%, SCAI B 89.2%, SCAI C 44.7%, SCAI D 0%, and SCAI E 0%. Conclusion: The SCAI B stage had the highest prevalence in Intensive Care and Toxicology Unit at An Giang Cardiology Hospital. During the 30-day follow-up period, the overall survival rate of the study group was approximately half of the cases. The highest survival rate was observed in stages A and B, while the lowest was in stages D and E. The higher SCAI SHOCK stage was in the first 24 hours, the lower survival rates were as consequences.