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1.
Article in Chinese | WPRIM | ID: wpr-797141

ABSTRACT

Objective@#To evaluate the European Heart Surgery Risk Assessment System (EuroSCORE II), the US National Cardiovascular Registry Database Risk Score System (NCDRCathPCI Risk Score System), and the age, creatinine, and left ventricular ejection fraction (ACEF) score for major adverse cardiovascular and cerebrovascular events(MACCE) in patients after percutaneous coronary intervention (PCI).@*Methods@#A retrospective analysis of 404 consecutive patients with postoperative PCI patients scored and early prognosis. Calibration was assessed by the Hosmer-Lemeshow (H-L) test, and discrimination was assessed by the receiver operating characteristic (ROC) curve.@*Results@#There were 17 cases (4.21%) of MACCE. EuroSCORE II, NCDRCathPCI, and ACEF predicted the area under the ROC curve of elderly patients with PCI after surgery were 0.871, 0.785, and 0.744, respectively (P < 0.01); the difference between EuroSCORE II and ACEF was statistically significant (P < 0.05). The EuroSCORE II and NCDRCathPCI scoring systems predict good MACCE calibration (EuroSCORE II: 5.14, 95% CI 4.63-5.70; NCDRCathPCI: 4.71, 95% CI 4.47-4.97); and the ACEF scoring system underestimates MACCE. The number of cases (ACEF: 49.41 cases, 95% CI 19.57-124.97).@*Conclusions@#For the elderly patients with postoperative PCI, all three scores can better predict the occurrence of postoperative in-hospital MACCE, and the predictive value of EuroSCORE II is better.

2.
Article in Chinese | WPRIM | ID: wpr-752519

ABSTRACT

Objective To evaluate the European Heart Surgery Risk Assessment System (EuroSCORE II), the US National Cardiovascular Registry Database Risk Score System (NCDRCathPCI Risk Score System), and the age, creatinine, and left ventricular ejection fraction (ACEF) score for major adverse cardiovascular and cerebrovascular events(MACCE) in patients after percutaneous coronary intervention (PCI). Methods A retrospective analysis of 404 consecutive patients with postoperative PCI patients scored and early prognosis. Calibration was assessed by the Hosmer-Lemeshow (H-L) test, and discrimination was assessed by the receiver operating characteristic (ROC) curve. ResuLts There were 17 cases (4.21%) of MACCE. EuroSCORE II, NCDRCathPCI, and ACEF predicted the area under the ROC curve of elderly patients with PCI after surgery were 0.871, 0.785, and 0.744, respectively (P < 0.01); the difference between EuroSCORE II and ACEF was statistically significant (P < 0.05). The EuroSCORE II and NCDRCathPCI scoring systems predict good MACCE calibration (EuroSCORE II: 5.14, 95% CI 4.63-5.70; NCDRCathPCI: 4.71, 95% CI 4.47-4.97); and the ACEF scoring system underestimates MACCE. The number of cases ( ACEF: 49.41 cases, 95% CI 19.57-124.97). ConcLusions For the elderly patients with postoperative PCI, all three scores can better predict the occurrence of postoperative in-hospital MACCE, and the predictive value of EuroSCORE II is better.

3.
Article in Chinese | WPRIM | ID: wpr-702329

ABSTRACT

Objective To evaluate the infl uence of iodixanol on Chinese patients who had chronic kidney disease(CKD) and received percutaneous coronary intervention complicated with major adverse cardiovascular and cerebrovascular events(MACCE) and contrast-induced acute kidney injury(CIAKI). Methods From 30th October 2013 to 7th October 2015, 3042 patients were enrolled in 30 centers in China. Patients were monitored in the hospital for 3 days and followed-up at 1 month. Patients were divided into chronic kidney disease group(n=105)and non chronic kidney disease group (n=2937) according to whether the patient has chronic nephropathy or not.The primary end point was the incidence rate of MACCE (re-revascularization of target lesions, stroke, stent thrombosis,cardiac death and myocardial infarction) and CIAKI in hospital 72 hours after PCI. The secondary end point was the incidence rate from 72 hours to 30 days post-PCI. Resuits (1)There were obvious differences between the two groups in baseline demographic date including age,BMI,comorbidities of hypertension,congestive heart failure, dyslipidemia,diabetes mellitus,peptic ulcer,ischemic stroke,previous use of antihypertensive drugs, diuretics,lipid-regulating drugs,hypoglycemic drugs,antiplatelet drugs and anticoagulants(all P<0.05).(2) There were obvious differences the CKD and non-CKD groups in perioperative date including operative route,preoperative hydration volume,postoperative hydration volume,total hydration volume,degree of postoporation lesion stenosis, contrast media used and machine injection rate(all P<0.05).(3)There were signifi cant diff erences between the two groups in the percentage of prescription of β-blocker,lipid-regulating drugs and antiplatelet drugs after PCI(all P<0.05).(4)There was not statistical diff erences between two groups in MACCE incidence in hospital and from 72 hours to 30 days post-PCI(P>0.05). (5)There was not statistical diff erences between two the groups in CIAKI incidence in hospital (P>0.05). Conclusions Iodixanol had no signifi cant eff ect on the incidence of MACCE and CIAKI in Chinese chronic kidney disease patients and non-CKD patients who received PCI.

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