Acute Decompensated Heart Failure National Registry (ADHERE) Algorithm

The Acute Decompensated Heart Failure National Registry (ADHERE) Algorithm is a clinical decision tool designed for patients presenting with acute decompensated heart failure (ADHF). This algorithm aids clinicians in risk stratification, guiding therapeutic decisions based on the severity of the patient's condition. It utilizes key parameters such as blood urea nitrogen (BUN), systolic blood pressure, and creatinine levels to predict in-hospital mortality. The ADHERE Algorithm is particularly useful in the emergency department setting, where rapid assessment and treatment initiation are critical. It assists in identifying patients at high risk of adverse outcomes, thereby facilitating prompt intervention and potentially improving patient prognosis. However, it is important to note that the ADHERE Algorithm may not be applicable to patients with acute heart failure secondary to acute coronary syndromes, severe valvular disease, or congenital heart disease. Additionally, it may not be suitable for patients with end-stage renal disease or those on dialysis, as their BUN and creatinine levels may be significantly altered.

Reference

Gregg C Fonarow, ADHERE Scientific Advisory Committee. The Acute Decompensated Heart Failure National Registry (ADHERE): opportunities to improve care of patients hospitalized with acute decompensated heart failure. Rev Cardiovasc Med. 2003;4 Suppl 7:S21-30.