Abstract 145: Risk Stratification and Assessment for future Cardiac Events in Patients admitted with ACS Using a Novel Critical Pathway and its ' Validation by Framingham Risk Score, an ACAP-PAIN Database Analysis
| Autor: | Chaithanya K Pamidimukala, Emad F Aziz, Joseph H Bastawrose, Shuaib Mohamed, Urvi Pai, Rishad Usmani, Shashi Kumar, Balaji Pratap, Alexandre M Benjo, Eyal Herzog |
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| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Circulation: Cardiovascular Quality and Outcomes. 6 |
| ISSN: | 1941-7705 1941-7713 |
| DOI: | 10.1161/circoutcomes.6.suppl_1.a145 |
| Popis: | Background: We developed a novel pathway for management of patients with Acute Coronary Syndrome (ACS), designed with the acronym of PAIN (P) Priority Risk, (A) Advanced Risk, (I) Intermediate Risk, and (N) Negative Risk that reflects patients most immediate risk stratification upon admission. Our objective was to compare the patient risk stratification upon admission using the PAIN pathway to the Framingham Risk Score (FRS). Methods: A total of 6911 ACS patients admitted to a NYC hospital from Sept., 2004, to Dec., 2010, were enrolled in our prospective ACAP-ACS registry. Patients were stratified and treated according to the PAIN pathway. Mean risk factors for patients in the PAIN pathway were compared with the FRS. Results: The study population consisted of 3761 men (54%) with a mean age 60 ± 14 years and 3150 women (46%) with mean age 66 ± 15 years. On initial stratification P patients had 3.01 traditional risk factors, A patient had 3.50, I patients with 4.3 risk factors, and N patient had 1.9, P Conclusion: I patients according to our PAIN pathway had more risk factors which correlate with a higher risk for future cardiac events as calculated from the Framingham Risk Score. H population would benefit the most from a more aggressive intervention compared to others. |
| Databáze: | OpenAIRE |
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