Cardiology Strong — Pocock 2013 / MAGGIC Consortium; 39 372 patients

MAGGIC Risk Score for Heart Failure

Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) score predicts 1-year and 3-year all-cause mortality in chronic heart failure.

Score interpretation

MAGGIC 0–16 0–16

1-year mortality up to about 7 % (3-year up to about 18 %).

→ Optimise guideline-directed therapy.

MAGGIC 17–20 17–20

1-year mortality about 8–10 % (3-year 19–25 %).

→ Optimise therapy; review at a heart-failure clinic.

MAGGIC 21–24 21–24

1-year mortality about 11–15 % (3-year 27–34 %).

→ Heart-failure specialist review.

MAGGIC 25–28 25–28

1-year mortality about 16–21 % (3-year 37–46 %).

→ Specialist review; consider advanced therapies.

MAGGIC 29–32 29–32

1-year mortality about 23–29 % (3-year 49–59 %).

→ Advanced heart-failure assessment; discuss goals of care.

MAGGIC ≥ 33 33–99

1-year mortality about 32 % or more (3-year 63 % or more).

→ Advanced heart-failure and palliative-care input.

Interpretation bands for the MAGGIC. Apply clinical judgement and local guidance.

Pocock SJ et al. Predicting survival in heart failure: a risk score based on 39 372 patients from 30 studies. Eur Heart J. 2013.

Curated clinical cross-links plus same-class fallbacks.

Calculators

Drugs

Pathways

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.