Use of Risk Scoring Tools to Determine Risk of Secondary Cardiac and Non-Cardiac Events During Hospitalization for ST Elevation Myocardial Infarction in a Cohort of Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/243434
Category:
Full-text
Type:
Presentation
Title:
Use of Risk Scoring Tools to Determine Risk of Secondary Cardiac and Non-Cardiac Events During Hospitalization for ST Elevation Myocardial Infarction in a Cohort of Women
Author(s):
Scruth, Elizabeth Ann; Cheng, Eugene; Worrall-Carter, Linda
Lead Author STTI Affiliation:
California
Author Details:
Scruth, Elizabeth Ann, RN, MN, MPH, Elizabeth.Scruth@kp.org; Cheng, Eugene, MD; Worrall-Carter, Linda, RN, BEd,?PhD;
Abstract:
Purpose:

 GRACE, TIMI and CADILLAC are risk scores designed for predicting short term outcomes after acute coronary syndromes. The aim of our study was to test their utility for prediction of a secondary major cardiac and non cardiac event in a cohort of women treated invasively for an ST Elevation Myocardial Infarction.

Methods:

Our sample size consisted of consecutive patients with ST Elevation Myocardial Infarction treated with primary percutaneous coronary intervention. A retrospective approach was utlized.

 Results:

In general the CADILLAC, TIMI and GRACE risk scores all had relatively high predictive accuracy for major cardiac events in hospital, with C statistics ranging from 0.63 to 0.718 with the CADILLAC risk score being the highest . For major non cardiac events in hospital the three risk scores were similar in accuracy with C statistics ranging from 0.62 to 0.66.

 Conclusion:

Risk stratification of patients with STEMI undergoing primary percutaneous coronary intervention using the CADILLAC, GRACE or TIMI risk score provides important prognostic information and enables identification of high risk patients. Utilization of the risk scores will aid in determinng treatment strategies and care post intervention.

Keywords:
CADILLAC; GRACE; TIMI
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleUse of Risk Scoring Tools to Determine Risk of Secondary Cardiac and Non-Cardiac Events During Hospitalization for ST Elevation Myocardial Infarction in a Cohort of Womenen
dc.contributor.authorScruth, Elizabeth Annen
dc.contributor.authorCheng, Eugeneen
dc.contributor.authorWorrall-Carter, Lindaen
dc.contributor.departmentCaliforniaen
dc.author.detailsScruth, Elizabeth Ann, RN, MN, MPH, Elizabeth.Scruth@kp.org; Cheng, Eugene, MD; Worrall-Carter, Linda, RN, BEd,?PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/243434-
dc.description.abstract<b>Purpose: </b> <p>&nbsp;GRACE, TIMI and CADILLAC are risk scores designed for predicting short term outcomes after acute coronary syndromes. The aim of our study was to test their utility for prediction of a secondary major cardiac and non cardiac event in a cohort of women treated invasively for an ST Elevation Myocardial Infarction. <p><b>Methods: </b> <p>Our sample size consisted of consecutive patients with ST Elevation Myocardial Infarction treated with primary percutaneous coronary intervention. A retrospective approach was utlized. <p>&nbsp;<b>Results: </b> <p>In general the CADILLAC, TIMI and GRACE risk scores all had relatively high predictive accuracy for major cardiac events in hospital, with C statistics ranging from 0.63 to 0.718 with the CADILLAC risk score being the highest . For major non cardiac events in hospital the three risk scores were similar in accuracy with C statistics ranging from 0.62 to 0.66. <p>&nbsp;<b>Conclusion: </b> <p>Risk stratification of patients with STEMI undergoing primary percutaneous coronary intervention using the CADILLAC, GRACE or TIMI risk score provides important prognostic information and enables identification of high risk patients. Utilization of the risk scores will aid in determinng treatment strategies and care post intervention.en
dc.subjectCADILLACen
dc.subjectGRACEen
dc.subjectTIMIen
dc.date.available2012-09-12T09:22:14Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:22:14Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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