Background: several clinical risk scores are available for the risk stratification of patients with ST-elevation myocardial infarction (STEMI), such as the CADILLAC, GRACE, PAMI, TIMI, and Zwolle, but all are complex to use and there is uncertainty on the best one. The age-creatinine-ejection fraction (ACEF) score, has been recently proven effective and proficient as a risk score in cardiac surgery despite its user-friendliness. We thus aimed to compare the performance of the ACEF score in comparison to the other available risk scores in patient with STEMI. Methods: subjects with STEMI undergoing primary percutaneous coronary intervention at our Institution from 2001 to 2009 were enrolled. The primary end-point was in-hospital all-cause death, whereas long-term all-cause death, long-term cardiac death were appraised as secondary outcomes. ACEF, CADILLAC, GRACE, PAMI, TIMI, and Zwolle risk scores were compared with receiver-operating characteristics (ROC) curves with areas under the curve (AUC), and binary multivariable logistic regression analysis with odds ratios (OR), plus 95% confidence intervals.
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|Data di pubblicazione:||2010|
|Autori:||Sangiorgi, Gm; Bertelli, Luca; Zoccai, Gb; Sgura, F; Monopoli, Daniel Enrique; Politi, Luigi Vincenzo; Rossi, Rosario; Modena, Maria Grazia|
|Titolo:||The ACEF score: a simple but powerful predictor of short-term mortality in patients with ST-elevation myocardial infarction|
|Appare nelle tipologie:||Abstract in Atti di Convegno|
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