There is strong evidence of the prognostic value of GLS, which appears to have superior prognostic value to EF for predicting major adverse cardiac events.
Background: The Crusade Bleeding Score (CBS) is predictive of in hospital major bleeding in acute coronary syndrome (ACS) patients, however its utility in other syndromes is unknown. We sought to investigate the relationship between the CBS and bleeding in Trans Catheter Aortic Valve Replacement (TAVR) patients.Methods: A retrospective analysis of our TAVR registry was performed focusing on bleeding as defined by the VARC criteria.
As part of this, preoperative and discharge haemoglobin (Hb) values were collected as well as the number of units of packed red blood cells (PRBC) transfused. Each patient had their CBS calculated. Simple change in Hb (SCHB) was defined as preoperative Hb minus discharge Hb. Absolute change in Hb (ACHB) was defined as SCHB + 10× number of PRBC units received during their admission. A pairwise correlation test was then performed to determine if a correlation existed between CBS and SCHB or ACHB.Results: 105 patients were included from 25/8/2008 to 20/9/2011. Mean Hb over the admission decreased from 121.2 ± 16.9 to 105 ± 13.7 g/dL (p < 0.0001). Mean CBS was 39.2 ± 12.1. Mean SCHB was 15.6 ± 13.7 and mean ACHB was 22.4 ± 13.7 g/dL. There was a counter-intuitive negative weak correlation between SCHB and CS ( Fig. 1: correlation coefficient −0.25, p = 0.01) but no correlation between ACHB and CS (Fig. 2: correlation coefficient −0.03, p = 0.75).Conclusion: Unlike in ACS patients, the crusade bleeding score is not a useful clinical risk stratification tool for bleeding in TAVR patients.
ABSTRACTS
Heart, Lung and CirculationAbstracts S163 2012;21:S143-S316 CSANZ 2012 Abstracts BMS ≥ 3 mm in diameter and all long DES (small and large diameters) however had satisfactory outcomes comparable to short stents.http://dx.
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