Details

Autor(en) / Beteiligte

• Kim, Hyun Kuk, MD
• Jeong, Myung Ho, MD
• Ahn, Youngkeun, MD
• Kim, Jong Hyun, MD
• Chae, Shung Chull, MD
• Kim, Young Jo, MD
• Hur, Seung Ho, MD
• Seong, In Whan, MD
• Hong, Taek Jong, MD
• Choi, Dong Hoon, MD
• Cho, Myeong Chan, MD
• Kim, Chong Jin, MD
• Seung, Ki Bae, MD
• Chung, Wook Sung, MD
• Jang, Yang Soo, MD
• Rha, Seung Woon, MD
• Bae, Jang Ho, MD
• Cho, Jeong Gwan, MD
• Park, Seung Jung, MD

Titel

Hospital Discharge Risk Score System for the Assessment of Clinical Outcomes in Patients With Acute Myocardial Infarction (Korea Acute Myocardial Infarction Registry [KAMIR] Score)

Ist Teil von

• The American journal of cardiology, 2011-04, Vol.107 (7), p.965-971.e1

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2011

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Assessment of risk at time of discharge could be a useful tool for guiding postdischarge management. The aim of this study was to develop a novel and simple assessment tool for better hospital discharge risk stratification. The study included 3,997 hospital-discharged patients with acute myocardial infarction who were enrolled in the nationwide prospective Korea Acute Myocardial Infarction Registry-1 (KAMIR-1) from November 2005 through December 2006. The new risk score system was tested in 1,461 hospital-discharged patients who were admitted from January 2007 through January 2008 (KAMIR-2). The new risk score system was compared to the Global Registry of Acute Coronary Events (GRACE) postdischarge risk model during a 12-month clinical follow-up. During 1-year follow-up, all-cause death occurred in 228 patients (5.7%) and 81 patients (5.5%) in the development and validation cohorts, respectively. The new risk score (KAMIR score) was constructed using 6 independent variables related to the primary end point using a multivariable Cox regression analysis: age, Killip class, serum creatinine, no in-hospital percutaneous coronary intervention, left ventricular ejection fraction, and admission glucose based on multivariate-adjusted risk relation. The KAMIR score demonstrated significant differences in its predictive accuracy for 1-year mortality compared to the GRACE score for the developmental and validation cohorts. In conclusion, the KAMIR score for patients with acute myocardial infarction is a simpler and better risk scoring system than the GRACE hospital discharge risk model in prediction of 1-year mortality.