Brest Score – Diagnosis of CHF exacerbation

Brest Score
Clinical prediction score for congestive heart failure diagnosis in emergency room dyspnea
Characteristics:
[checklist name="Q1" value="age 65 years or over (1 point)=1|seizure (sudden) dyspnea (2 points)=2|night outbreak (1 point)=1|orthopnea (1 point)=1|history of pulmonary edema/prior congestive heart failure episode (2 points)=2|chronic pulmonary disease (-2 points)=-2|myocardial infarction (1 point)=1|crackles (2 points)=2|leg edema (1 point)=1|ST-segment abnormality (1 point)=1|atrial fibrillation/flutter on electrocardiography (1 point)=1"]
Score --> [calc memo="number" value="score=(Q1)"]
Interpretation (probability of acute congestive heart failure) --> [calc memo="result" value="score2=2+(Q1);score2>8?'High probability - 91.5 percent':score2>3?'Intermediate probability - 58.5 percent':'Low probability - 6.7 percent'"]

[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"]Reference:
[link memo="#1" url="https://www.ncbi.nlm.nih.gov/pubmed/27599400"] Basset A et al. Development of a clinical prediction score for congestive heart failure diagnosis in the emergency care setting: The Brest score. Am J Emerg Med. 2016 Dec;34(12):2277-2283.[/conditional]