ADHERE Algorithm for Acute Decompensated Heart Failure
Acute Decompensated Heart Failure National Registry (ADHERE) classification and regression tree. Predicts in-hospital mortality in patients admitted with ADHF using BUN, creatinine, and systolic BP.
Score interpretation
→ BUN <43 mg/dL: Low-risk tier. If SBP ≥115 mmHg, in-hospital mortality ~2.1% (LOW RISK). If SBP <115 mmHg, intermediate risk ~5.5%. Optimise diuresis; consider CPAP for pulmonary oedema.
→ BUN ≥43 mg/dL: Elevated risk tier. If Cr <2.75 mg/dL, mortality ~6.4% (INTERMEDIATE). If Cr ≥2.75 mg/dL, mortality ~9.5% (HIGH RISK). Consider ICU; aggressive diuresis; renal monitoring; cardiology input.
Interpretation bands for the ADHERE Algorithm. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.