Evaluation of CRUSADE and ACUITY-HORIZONS Scores for Predicting Long-term Out-of-Hospital Bleeding after Percutaneous Coronary Interventions / 中华医学杂志(英文版)
Xue-Yan ZHAO; Jian-Xin LI; Xiao-Fang TANG; Ying XIAN; Jing-Jing XU; Ying SONG; Lin JIANG; Lian-Jun XU; Jue CHEN; Yin ZHANG; Lei SONG; Li-Jian GAO; Zhan GAO; Jun ZHANG; Yuan WU; Shu-Bin QIAO; Yue-Jin YANG; Run-Lin GAO; Bo XU; Jin-Qing YUAN.
Chinese Medical Journal
; (24): 262-267, 2018.
Artículo
en Inglés
| WPRIM | ID: wpr-771587
BACKGROUND@#There is scanty evidence concerning the ability of Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of the ACC/AHA Guidelines (CRUSADE) and Acute Catheterization and Urgent Intervention Triage Strategy and Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction (ACUITY-HORIZONS) scores to predict out-of-hospital bleeding risk after percutaneous coronary interventions (PCIs) with drug-eluting stents (DES) in patients receiving dual antiplatelet therapy. We aimed to assess and compare the long-term prognostic value of these scores regarding out-of-hospital bleeding risk in such patients.@*METHODS@#We performed a prospective observational study of 10,724 patients undergoing PCI between January and December 2013 in Fuwai Hospital, China. All patients were followed up for 2 years and evaluated through the Fuwai Hospital Follow-up Center. Major bleeding was defined as Types 2, 3, and 5 according to Bleeding Academic Research Consortium Definition criteria.@*RESULTS@#During a 2-year follow-up, 245 of 9782 patients (2.5%) had major bleeding (MB). CRUSADE (21.00 [12.00, 29.75] vs. 18.00 [11.00, 26.00], P 0.05). The value of CRUSADE and ACUITY-HORIZONS scores did not differ significantly (P > 0.05) in the whole cohort, ACS subgroup, or non-ACS subgroup.@*CONCLUSIONS@#CRUSADE and ACUITY-HORIZONS scores showed statistically significant but relatively limited long-term prognostic value for out-of-hospital MB after PCI with DES in a cohort of Chinese patients. The value of CRUSADE and ACUITY-HORIZONS scores did not differ significantly (P > 0.05) in the whole cohort, ACS subgroup, or non-ACS subgroup.
Asunto(s)
Anciano Femenino Humanos Masculino Persona de Mediana Edad Síndrome Coronario Agudo Terapéutica Angina Inestable Terapéutica Stents Liberadores de Fármacos Infarto del Miocardio Terapéutica Intervención Coronaria Percutánea Inhibidores de Agregación Plaquetaria Hemorragia Posoperatoria Diagnóstico Epidemiología Cirugía General Guías de Práctica Clínica como Asunto Pronóstico Estudios Prospectivos Proyectos de Investigación Riesgo Medición de Riesgo Resultado del Tratamiento
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