Emergency Heart Failure Mortality Risk Grade (EHMRG)

Estimates 7-day mortality of emergency CHF patients.

System of Measurement

Age (years) (years)

Systolic BP (mm Hg) (mm Hg)

Triage/Initial SBP

Heart Rate (beats per minute) (beats per minute)

Triage/Initial Rate

O2 Sat (%) (%)

Lowest Triage/Initial Sat

Creatinine (mg/dL) (µmol/L)

Potassium

≤3.9

4-4.5

≥4.6

+30

Transported by EMS

Yes

+60

Troponin Positive

Yes

+60

Active Cancer

Yes

+45

On outpatient metolazone

Yes

+60

Interpretation

Source: Lee DS, Stitt A, Austin PC, Stukel TA, Schull MJ, Chong A, Newton GE, Lee JS, Tu JV. Prediction of heart failure mortality in emergent care: a cohort study. Ann Intern Med. 2012 Jun 5;156(11):767-75, W-261, W-262. doi: 10.7326/0003-4819-156-11-201206050-00003. PubMed PMID: 22665814.