American Heart Journal Plus · Published 2026-07-24 · DOI 10.1016/j.ahjo.2026.100841
Emmanuel Otabor, Justin Lam, Laith Alomari, Olayinka Afolabi-Brown, Kevin Bryan Lo
In a critically ill cohort of 1505 patients with acute decompensated heart failure, the BAN-ADHF score was inversely associated with diuretic efficiency (Spearman ρ = −0.518) and discriminated the lowest-efficiency quintile (AUROC 0.780 at 24 h; 0.769 at 72 h), with efficiency falling more than four-fold across risk categories. This first external validation in an intensive-care population extends the evidence for BAN-ADHF to patients excluded from prior cohorts and supports prospective evaluation of score-guided decongestive strategies in critical illness.
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Otabor, E., Lam, J., Alomari, L., et al. (2026). Predicting diuretic efficiency in critically ill patients with acute decompensated heart failure: External validation of the BAN-ADHF score. American Heart Journal Plus. https://doi.org/10.1016/j.ahjo.2026.100841