Escore de risco Dante Pazzanese para síndrome coronariana aguda sem supradesnivelamento do segmento ST

Santos, Elizabete Silva dos; Timerman, Ari; Baltar, Valéria Troncoso; Castillo, Maria Tereza Cabrera; Pereira, Marcos Paulo Torres; Minuzzo, Luiz; Piegas, Leopoldo Soares

doi:10.1590/s0066-782x2009001000006

Cited by 19 publications

(27 citation statements)

References 30 publications

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“…The majority of the study population was elderly, male, with a few years of study and living in neighboring municipalities of City where the emergency unit of the teaching hospital was located, which corroborates research on Dante Pazzanese risk score for acute coronary syndrome, that observed the older age associated with the occurrence of adverse coronary events, as well as the low level of education of patients [9].…”

Section: Discussionsupporting

confidence: 84%

“…However, there was no significant association between delta T and the variable marital status (P = 0.759), also observed in the study by Franco et al [9] that showed P = 0.006. Data from a study comparing patients with AMI regarding their time of arrival at the emergency unit found that those who sought medical care for more than six hours, and were on average older (75 ± 7 years), women and non-whites [ 14].…”

Section: * Monitoring During Transport Of the Patient To The Unitsupporting

confidence: 55%

“…The symptom of chest pain is present in 75% to 85% of patients with AMI, which is the factor of greatest significance for these people to seek for help. [9] In this study, it was found that 96.15% of patients had angina, occurring an average score of 6.9 points, with a median of 8 points, demonstrating that these patients had pain of medium to high intensity.…”

Section: * Monitoring During Transport Of the Patient To The Unitmentioning

confidence: 54%

“…The knowledge of the arrival time of patients with symptoms of AMI to specialized services, as well as the identification of the difficulties faced by them, can subsidize nursing professionals and guidance to help patients, their families and the community [3,9]. Therefore, this study aimed to characterize the profile of people with AMI treated in an emergency department and check the arrival time (delta T).…”

Section: Introductionmentioning

confidence: 99%

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Time of arrival of patients with acute myocardial infarction to the emergency department

Bastos¹,

Beccária²,

Contrin³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Objectives: To characterize the profile of patients with acute myocardial infarction (AMI) treated at the emergency department and to verify the time of arrival of each patient (∆T). Identify how the patient was transported and to correlate Delta-T (∆T) with the treatment and the prognosis of each patient.Methods: Cross-sectional survey involving 52 patients with AMI admitted to the Emergency Department of a Teaching Hospital took part in the study from July to December 2010. Data collection was performed using medical records and interviews.Results: The majority of the patients were male with a mean age of 62.35 ± 14.66 years. The participants were married, with low education levels, family history of heart diseases, arterial hypertension, dyslipidemia, and a sedentary lifestyle. The symptoms presented were pains in the chest, epigastric region, or a chest discomfort associated to dyspnea and/or sudden sweating. The majority of the patients were transported by ambulance. They were submitted to cardiac catheterization followed by angioplasty. Delta-T found was 9h45min ± 18h9min. In this study, the overall lethality was 3.85%.Conclusions: The perception of signs and symptoms of AMI by the patient was a decisive factor when seeking out specialized treatment. Those with the lowest Delta-T presented better prognosis. Descriptors

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Section: Discussionsupporting

confidence: 84%

Section: * Monitoring During Transport Of the Patient To The Unitsupporting

confidence: 55%

Section: * Monitoring During Transport Of the Patient To The Unitmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Time of arrival of patients with acute myocardial infarction to the emergency department

Bastos¹,

Beccária²,

Contrin³

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…The Dante Pazzanese score for risk stratification 11 (DANTE score) has shown a good ability (C-statistics, 0.74) to assess the likelihood of the composite endpoint of death or (re)infarction in up to 30 days in the population it was developed, incorporating the following variables easily collected in daily medical practice: age; history of diabetes mellitus or stroke; no use of angiotensin-converting-enzyme inhibitor prior to hospitalization; ST-segment depression ≥ 0.5 mm on electrocardiogram at admission; cardiac troponin level elevation; and creatinine level elevation (Figure 1). It is a simple risk stratification model developed in a Brazilian population with non-ST-segment elevation ACS, which is easily performed and has a high predictive value for cardiovascular events.…”

Section: Introductionmentioning

confidence: 99%

Prospective Validation of the Dante Pazzanese Risk Score in Non-ST-Segment Elevation Acute Coronary Syndrome

Santos¹,

Minuzzo²,

Souza³

et al. 2013

Arquivos Brasileiros De Cardiologia

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BackgroundIn non-ST-segment elevation acute coronary syndrome (ACS), the likelihood of adverse events should be estimated. Guidelines recommend risk stratification models for that purpose. The Dante Pazzanese risk score (DANTE score) is a simple risk stratification model composed with the following variables: age increase (0 to 9 points); history of diabetes mellitus (2 points) or stroke (4 points); no use of angiotensin-converting-enzyme inhibitor (1 point); creatinine elevation (0 to 10 points); combination of troponin elevation and ST-segment depression (0 to 4 points). ObjectiveTo validate the DANTE score in patients with non-ST-segment elevation ACS. MethodsProspective, observational study including 457 patients, from September 2009 to October 2010. The patients were grouped in risk categories according to the original model score as follows: very low; low; intermediate; and high. The predictive ability of the score was assessed by using C-statistics. ResultsThe sample comprised 291 (63.7%) men, the mean age being 62.1 years (SD=11.04). The event death or (re) infarction in 30 days was observed in 17 patients (3.7%). Progressive increase in the proportion of events was observed as the score increased: very low risk = 0.0%; low risk = 3.9%; intermediate risk = 10.9%; high risk = 60.0%; p < 0.0001. C-statistics was 0.87 (95% CI: 0.81-0.94; p < 0.0001). ConclusionDANTE score showed an excellent capacity to predict the specific events, and can be incorporated to the prognostic assessment of patients with non-ST-segment elevation ACS.

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TIMI, GRACE and alternative risk scores in Acute Coronary Syndromes: A meta-analysis of 40 derivation studies on 216,552 patients and of 42 validation studies on 31,625 patients

D’Ascenzo

Biondi‐Zoccai

Moretti

et al. 2012

Contemporary Clinical Trials

204

148

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Escore de risco Dante Pazzanese para síndrome coronariana aguda sem supradesnivelamento do segmento ST

Abstract: SummaryBackground: The probability of adverse events estimate is crucial in acute coronary syndrome condition.

Cited by 19 publications

References 30 publications

Time of arrival of patients with acute myocardial infarction to the emergency department

Time of arrival of patients with acute myocardial infarction to the emergency department

Prospective Validation of the Dante Pazzanese Risk Score in Non-ST-Segment Elevation Acute Coronary Syndrome

TIMI, GRACE and alternative risk scores in Acute Coronary Syndromes: A meta-analysis of 40 derivation studies on 216,552 patients and of 42 validation studies on 31,625 patients

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