Prognostic value of GRACE score for in-hospital and 6 months outcomes after non-ST elevation acute coronary syndrome
Autor: | Reeta Bai, Khadijah Abid, Tariq Ahmed, Arti Ashok, Rekha Kumari, Musa Karim, Bashir Ahmed Solangi, Hitesh Kumar, Tahir Saghir, Dileep Kumar, Naveedullah Khan |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Acute coronary syndrome lcsh:Diseases of the circulatory (Cardiovascular) system 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus medicine Non-ST elevation acute coronary syndrome 030212 general & internal medicine Family history Univariate analysis Framingham Risk Score business.industry Research ST elevation medicine.disease Obesity In-hospital mortality Risk factors lcsh:RC666-701 GRACE risk score business Dyslipidemia Predictor |
Zdroj: | The Egyptian Heart Journal, Vol 73, Iss 1, Pp 1-5 (2021) The Egyptian Heart Journal |
Popis: | Background The aim of this study was to determine the predictive value of the Global Registry of Acute Coronary Events (GRACE) score for predicting in-hospital and 6 months mortality after non-ST elevation acute coronary syndrome (NSTE-ACS). Results In this observational study, 300 patients with NSTE-ACS of age more than 30 years were included; 16 patients died during the hospital stay (5.3%). Of 284 patients at 6 months assessment, 10 patients died (3.5%), 240 survived (84.5%), and 34 were lost to follow-up (12%) respectively. In high risk category, 10.5% of the patients died within hospital stay and 11.8% died within 6 months (p = 0.001 and p = 0.013). In univariate analysis, gender, diabetes mellitus, family history, smoking, and GRACE score were significantly associated with in-hospital mortality whereas age, obesity, dyslipidemia, and GRACE were significantly associated with 6 months mortality. After adjustment, diabetes mellitus, family history, and GRACE score remained significantly associated with in-hospital mortality (p ≤ 0.05) and age remained significantly associated with 6 months mortality. Conclusion GRACE risk score has good predictive value for the prediction of in-hospital mortality and 6 months mortality among patients with NSTE-ACS. |
Databáze: | OpenAIRE |
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