Author:
Kumar Dileep,Ashok Arti,Saghir Tahir,Khan Naveedullah,Solangi Bashir Ahmed,Ahmed Tariq,Karim Musa,Abid Khadijah,Bai Reeta,Kumari Rekha,Kumar Hitesh
Abstract
Abstract
Background
The aim of this study was to determine the predictive value of the Global Registry of Acute Coronary Events (GRACE) score for predicting in-hospital and 6 months mortality after non-ST elevation acute coronary syndrome (NSTE-ACS).
Results
In this observational study, 300 patients with NSTE-ACS of age more than 30 years were included; 16 patients died during the hospital stay (5.3%). Of 284 patients at 6 months assessment, 10 patients died (3.5%), 240 survived (84.5%), and 34 were lost to follow-up (12%) respectively. In high risk category, 10.5% of the patients died within hospital stay and 11.8% died within 6 months (p = 0.001 and p = 0.013). In univariate analysis, gender, diabetes mellitus, family history, smoking, and GRACE score were significantly associated with in-hospital mortality whereas age, obesity, dyslipidemia, and GRACE were significantly associated with 6 months mortality. After adjustment, diabetes mellitus, family history, and GRACE score remained significantly associated with in-hospital mortality (p ≤ 0.05) and age remained significantly associated with 6 months mortality.
Conclusion
GRACE risk score has good predictive value for the prediction of in-hospital mortality and 6 months mortality among patients with NSTE-ACS.
Publisher
Springer Science and Business Media LLC
Reference19 articles.
1. Basit H, Malik A, Huecker MR (2020) Non ST segment elevation myocardial infarction. [Updated 2020 Oct 15]. In: StatPearls [Internet]. StatPearls Publishing, Treasure Island Available from: https://www.ncbi.nlm.nih.gov/books/NBK513228/
2. Zègre-Hemsey JK, Burke LA, DeVon HA (2018) Patient-reported symptoms improve prediction of acute coronary syndrome in the emergency department. Res Nurs Health 41(5):459–468
3. Amsterdam EA, Wenger NK, Brindis RG, Casey DE Jr, Ganiats TG, Holmes DR Jr, Jaffe AS, Jneid H, Kelly RF, Kontos MC, Levine GN, Liebson PR, Mukherjee D, Peterson ED, Sabatine MS, Smalling RW, Zieman SJ (2014) AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation 130(25):2354–2394
4. Backus BE, Six AJ, Kelder JH, Gibler WB, Moll FL, Doevendans PA (2011) Risk scores for patients with chest pain: evaluation in the emergency department. Curr Cardiol Rev 7(1):2–8
5. Khalill R, Han L, Jing C, Quan H (2009) The use of risk scores for stratification of non-ST elevation acute coronary syndrome patients. Exp Clin Cardiol 14(2):e25–e30
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献