[A scale for early assessment of risk of death and myocardial infarction during initial hospitalization of patients with acute coronary syndromes (based on data from the RECORD registry)].
Independent predictors of death and death or myocardial infarction (MI) during initial hospitalization of patients with acute coronary syndromes (ACS) were determined using database of Russian independent ACS registry RECORD. These predictors (admission Killip class II, ST-segment elevation 1 mm, systolic blood pressure 100 mm Hg, hemoglobin &lt;110 g/L, age 65 years, history of diabetes) were attributed equal weight (1 point) and combined in a prognostic scale for assessment of risk of inhospital death and death or MI. The scale did not include markers of necrosis, and the most time consuming component was measurement of hemoglobin. Sensitivity and specificity of risk scores for prediction of death were 78.5%. The use of GRACE score in this group of patients gave similar results. These preliminary data require confirmation on larger populations of patients with ACS.
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Érlikh
D054058:Acute Coronary Syndrome / Q000097:blood / Q000150:complications* / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D000367:Age Factors; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004562:Electrocardiography; D006454:Hemoglobins / Q000032:analysis; D017052:Hospital Mortality; D006801:Humans; D007022:Hypotension / Q000175:diagnosis; D009203:Myocardial Infarction / Q000209:etiology* / Q000401:mortality; D010343:Patient Admission / Q000592:standards; D011379:Prognosis; D011996:Records; D012042:Registries; D018570:Risk Assessment / Q000379:methods / Q000592:standards; D012720:Severity of Illness Index; D014894:Weights and Measures / Q000592:standards*
D006454:Hemoglobins