Validation of the Zwolle score for selection of very low-risk STEMI patients treated with primary angioplasty
| Autor: | Moisés Rodríguez-Mañero, F Goncalvez, P Monteiro, L Goncalves, J.C Sanmartin Pena, A Cordero, David Escribano, Vicente Bertomeu-González, D Lopez Otero, R Trillo Noche, Pilar Zuazola, José María García-Acuña, J R Gonzalez-Juanatey, Belen Cid |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Gold standard Percutaneous coronary intervention Revascularization Intensive care unit law.invention law Angioplasty Internal medicine medicine Very low risk Cardiology and Cardiovascular Medicine business Risk assessment Selection (genetic algorithm) |
| Zdroj: | European Heart Journal. 41 |
| ISSN: | 1522-9645 0195-668X |
| DOI: | 10.1093/ehjci/ehaa946.1840 |
| Popis: | Background The Zwolle risk score was designed to stratify the actual in-hospital mortality risk of ST-elevation myocardial infarction (STEMI) patients treated with primary percutaneous coronary intervention (p-PCI) but, also, for decision-making related to patients location in an intensive care unit or not. Since the GRACE score continues being the gold-standard for individual risk assessment in STEMI in most institutions we assessed the specificity of both scores for in-hospital mortality. Methods We assessed the accuracy of Zwolle risk score for in-hospital mortality estimation as compared to the GRACE score in all patients admitted for STEMI in 3 tertitary hospitals. Patients with Zwolle risk score Results We included 4,446 patients, mean age 64.7 (13.6) years, 24% women and 39% with diabetes. Mean GRACE score was 157.3 (4.9) and Zwolle was 2.8 (3.3). In-hospital mortality was 10.6% (471 patients). Patients who died had higher GRACE score (218.4±4.9 vs. 149.6±37.5; p Conclusions Selection of low-risk STEMI patients treated with p-PCI based on the Zwolle risk score has higher specificity than the GRACE score and might be useful for the care organization in clinical practice. Funding Acknowledgement Type of funding source: None |
| Databáze: | OpenAIRE |
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