Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes.

Autor:	Petek AA; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Costa NA; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Pereira FWL; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Santos EAD; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Okoshi K; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Zanati SG; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Azevedo PS; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Polegato BF; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Paiva SAR; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Zornoff LAM; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil., Minicucci MF; Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Unesp - Univ Estadual Paulista, Botucatu, Brasil.
Jazyk:	angličtina
Zdroj:	Revista da Associacao Medica Brasileira (1992) [Rev Assoc Med Bras (1992)] 2019 Sep 12; Vol. 65 (8), pp. 1074-1079. Date of Electronic Publication: 2019 Sep 12.
DOI:	10.1590/1806-9282.65.8.1074
Abstrakt:	Background: The objective of this study was to evaluate the performance of the Framingham risk score (FRS) and risk score by the American College of Cardiology/American Heart Association (SR ACC/AHA) in predicting mortality of patients ten years after acute coronary syndrome (ACS). Methods: This is a retrospective cohort study that included patients aged ≥ 18 years with ACS who were hospitalized at the Coronary Intensive Care Unit (ICU) of the Botucatu Medical School Hospital from January 2005 to December of 2006. Results: A total of 447 patients were evaluated. Of these, 118 were excluded because the mortality in 10 years was not obtained. Thus, 329 patients aged 62.9 ± 13.0 years were studied. Among them, 58.4% were men, and 44.4% died within ten years of hospitalization. The median FRS was 16 (14-18) %, and the ACC/AHA RS was 18.5 (9.1-31.6). Patients who died had higher values of both scores. However, when we classified patients at high cardiovascular risk, only the ACC/AHA RS was associated with mortality (p <0.001). In the logistic regression analysis, both scores were associated with mortality at ten years (p <0.001). Conclusions: Both FRS and SR ACC/AHA were associated with mortality. However, for patients classified as high risk, only the ACC/AHA RS was associated with mortality within ten years.
Databáze:	MEDLINE
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