Predictive Value of IABP-SHOCKⅡRisk Score for 30-day Mortality in Chinese Patients With Cardiogenic Shock After Acute Myocardial Infarction / 中国循环杂志
Chinese Circulation Journal
;
(12): 535-538, 2018.
Article
Dans Chinois
| WPRIM
| ID: wpr-703891
ABSTRACT
Objectives:
To investigate the predictive value of IABP-SHOCKⅡ risk score for 30-day mortality in Chinese patients with cardiogenic shock after acute myocardial infarction.Methods:
A total of 212 hospitalized Chinese patients with cardiogenic shock after acute myocardial infarction were enrolled from June 2014 to July 2017. The IABP-SHOCKⅡrisk score was calculated at admission. The endpoint of this study was all-cause 30-day death. The predictive value of IABP-SHOCKⅡ risk score for these patients was assessed by calculating the area under receiver operating characteristic (ROC) curve.Results:
According to the IABP-SHOCKⅡrisk score at admission, the patients were divided into 3 groupsscore 0-2 group, n=106; score 3-4 group, n=56 and score 5-9 group, n=50. Patients were older, incidence of cerebral stroke, lactic acid, glucose at admission and creatinine levels were higher. while incidence of TIMI grade 3 was lower in score 3-4 group and score 5-9 group than in score 0-2 group (all P<0.05). Percent of male patients was lower in score 5-9 group than in score 0-2 group (P<0.05). Incidence of cerebral stroke, lactic acid, and creatinine levels were higher. while incidence of TIMI grade 3 was lower in score 5-9 group than in score 3-4 group (all P<0.05). Sixty-eight patients died during the 30 days follow-up, mortality was 6.6%, 37.5% and 80% in the score 0-2 group, score 3-4 group, and score 5-9 group, respectively (P<0.05). The ROC curve analysis showed that AUC was 0.853, and 95%CI was 0.796-0.911.Conclusions:
IABP-SHOCKⅡ risk score is suitable for risk stratification and assessment of 30-day mortality in Chinese patients with cardiogenic shock after acute myocardial infarction and may facilitate the clinical decision making to improve the outcome of these patients.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Type d'étude:
Etude d'étiologie
/
Étude pronostique
langue:
Chinois
Texte intégral:
Chinese Circulation Journal
Année:
2018
Type:
Article
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