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❤️ ADHERE Heart Failure Risk Tree

UseWhen to use: admission BUN, SBP, and creatinine available for ADHF.

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StrataLow ~2%; intermediate mid-single-digits to teens; high ~22% in-hospital mortality in derivation.

LimitsWhen not to use: outpatient chronic HF alone. · Pitfall: BUN units (mg/dL). · Not a sole ICU bed rule.

SourceADHERE CART (Fonarow JAMA 2005)

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Scene next step
📋heart failureOpen scene pack →
Related scores
Matching pathway
🧭ahfOpen pathway →
Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Three splits.

When to use

When to use: admission BUN, SBP, and creatinine available for ADHF.

How it works

CART: BUN ≥43 → SBP <115 → Cr ≥2.75; low if BUN<43 and SBP≥115; high if all three high-risk splits.

Key points

  • Three splits.
  • Low / intermediate / high.
  • Next: intensity of monitoring.

References

  • ADHERE CART (Fonarow JAMA 2005)

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

BUN (mg/dL)40 mg/dL
Systolic BP (mmHg)120 mmHg
Creatinine (mg/dL)1.4 mg/dL

→ADHERELow

  • Inputs：BUN 40, SBP 120, Cr 1.4
  • Derivation mortality cue：~2.1%
Verification & sources · governance
FAQ

Frequently asked questions

Does ADHERE Heart Failure Risk Tree upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is ADHERE Heart Failure Risk Tree calculated in practice? Can you show a worked example?
Inputs: BUN (mg/dL) 40 mg/dL, Systolic BP (mmHg) 120 mmHg, Creatinine (mg/dL) 1.4 mg/dL → Result: ADHERE Low（Inputs: BUN 40, SBP 120, Cr 1.4, Derivation mortality cue: ~2.1%）
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