Prospective Comparison of the 5 Most Popular Risk Scores in Clinical Use for Unselected Patients With Acute Coronary Syndrome
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- Filipiak Krzysztof J.
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Koltowski Lukasz
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Grabowski Marcin
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Karpinski Grzegorz
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Glowczynska Renata
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Huczek Zenon
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Kochman Janusz
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Majstrak Franciszek
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
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- Opolski Grzegorz
- 1<sup>st</sup> Chair and Department of Cardiology, Central University Hospital, Medical University of Warsaw
書誌事項
- タイトル別名
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- – Basis for Design of the Banach Score –
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説明
Background: A limited number of studies comparing the main risk scores (RS) for acute coronary syndromes (ACS) have been conducted and there is a limited number of long-term observations of unselected patient cohorts evaluated with the various RS. The aim of this study was to validate 5 RS (TIMI STEMI RS, TIMI NSTEMI/UA RS, GRACE RS, SIMPLE RS and ZWOLLE RS) in a Polish population and to develop a new RS that would specifically predict 1-year mortality in the unselected ACS patient cohort. Methods and Results: Single-center ACS registry analysis with 1-year follow-up of 931 patients and prospective comparison of 5 RS was conducted. Creation of an RS was attempted. Risk factors were evaluated in a multivariate logistic regression model. The predictive value of the model was assessed with evaluation of the area under curve (AUC) in receiver-operating characteristic analysis. Twelve independent factors influencing 1-year mortality were identified and of them, clerking, physical findings on admission, first ECG and myocardial necrosis markers demonstrated sufficiently high predictive value. All 5 RS were successfully validated in the target registry and although they all displayed high predictive value, the TIMI RS STEMI (AUC=0.84) and GRACE RS (AUC=0.84) proved superior. Conclusions: The developed Banach score offers both high goodness-of-fit and predictive value and may be used irrespective of ACS type. (Circ J 2011; 75: 167-173)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 75 (1), 167-173, 2011
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詳細情報 詳細情報について
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- CRID
- 1390001205101682304
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- NII論文ID
- 10027425831
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BC3M%2FntVSksg%3D%3D
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- ISSN
- 13474820
- 13469843
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- PubMed
- 21071878
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可