Original Article
How to improve prognostic value of popular risk scores used in acute coronary syndrome – A single center experience in a long term follow-up
Author(s): Marcin Grabowski, Krzysztof J. Filipiak, Grzegorz Opolski, Renata Główczyńska, Monika Gawałko, Paweł Balsam, Andrzej Cacko*, Zenon Huczek, Grzegorz Karpiński, Robert Kowalik, Franciszek Majstrak and Janusz Kochman
BACKGROUND: Despite the availability of several acute coronary syndrome (ACS) prognostic risk scores (RSs), there is no appropriate score for post-discharge risk stratification for patients after ACS. The aim of this study was to improve traditional RSs designed for predicting short-term outcome after ACS through the inclusion of additional prognostic factors critical for long-term prognosis. METHODS: Observational prospective single-center study included 672 consecutive patients admitted for ACS and discharged alive between 2002 and 2004. Multivariate analysis identified additional independent risk factors for long-term mortality, primarily not included in the RSs. Prognostic value of each RS (SIMPLE, TIMI-STEMI, TIMI-UA/NSTEMI, GRACE in-hospital, GRACE post-discharge, ZWOLLE, LLOYD-JONES) with additional risk factors was evaluated with the area under rec.. Read More»
DOI:
10.4172/2368-0512.1000108
