The role of C-reactive protein and albumin combined ındexes in predicting the need for ıntubation in acute heart failure: A prospective observational study.

Objective: Heart failure is a clinical syndrome, caused by functional or structural dysfunction of the heart. Taking early decisions for interventional procedures and predicting the treatment process will be beneficial for patients and will shorten the waiting times for the emergency department. We evaluated the capability of C-reactive protein (CRP) and albumin combined indexes to predict the need for intubation in acute heart failure.

Methods: This study was designed prospectively. Patients with signs and symptoms such as weakness, shortness of breath, abnormal findings in lung sounds, jugular fullness, peripheral edema, and ankle swelling at the time of admission were evaluated. All patients were diagnosed with acute heart failure in the Emergency Department (ED).

Results: A total of 220 patients were included. The median age was 77. CRP Albumin Ratio (CAR) was higher in the intubated group. Glasgow Prognostic Score (GPS) and modified Glasgow Prognostic Score (mGPS) sensitivity, specificity, accuracy and other values were the same.

Conclusion: These scores, which are simple and do not require additional examination, can be used to predict the clinical progress of patients.