Prediction of major adverse cardiovascuLar and cerebrovascuLar events in eLderLy patients undergoing percutaneous coronary intervention with three scoring systems / 中国实用护理杂志

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.