Integrating the BAN-ADHF diuretic resistance score into same day emergency care centres for heart failure management: a conceptual framework.

ABSTRACT: Early recognition of diuretic resistance is essential for preventing avoidable admissions and progression of acute decompensated heart failure. This Perspective synthesises current evidence and proposes a pragmatic, digitally enabled framework for embedding the Blood Urea Nitrogen, Atrial Fibrillation, N-terminal pro-B-type natriuretic peptide Acute Decompensated Heart Failure (BAN-ADHF) score into United Kingdom same-day emergency care services. Drawing on established electronic health record capabilities and the Fast Healthcare Interoperability Resources standard, we describe a three-touch-point workflow to stratify patients into low, moderate, or high-risk tiers of diuretic resistance and generate tier-specific recommendations for oral up-titration or intravenous sequential nephron bloc

SUBMITTER: Alfonso DM 

PROVIDER: S-EPMC12508824 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature