A Risk Score to Predict In-Hospital Mortality for Percutaneous Coronary Interventions

Abstract

The risk score accurately predicted in-hospital death for PCI procedures using future New York data. Its performance in other patient populations needs to be further studied.

Tree-structured risk stratification of in-hospital mortality after percutaneous coronary intervention for acute myocardial infarction: A report from the New York State percutaneous coronary intervention database

“…In many ways our analysis confirms not only the importance but also the ordering of clinical factors that have been repeatedly demonstrated as strong predictors of outcome following AMI [26][27][28]. Not surprisingly, patients with cardiogenic shock were identified as the highest risk group followed by those with congestive heart failure.…”

Quality assessment and improvement in interventional cardiology: A position statement of the society of cardiovascular angiography and interventions, Part II: Public reporting and risk adjustment

“…Further, there is only a weak relationship with unplanned CABG [38][39][40][41][42][43][44], which is likely due to the many clinical variables that impact outcomes (Table III). In the Northern New England Registry [26] there was no relationship between operator volume and clinical success, MI as a complication, mortality (low or high-risk patients) or in-hospital CABG.…”

“…Four recently published risk prediction models derived from contemporary datasets are detailed in Table IV [43,44,[55][56][57]. Older models are depicted in Table V [52,[58][59][60][61][62][63][64][65].…”

The management of patients with stable coronary syndromes

“…The published results from large real-world registries of usual practice indicate that the short-term risks are not negligible. (25,26) Patients and practitioners sometimes view PCI as a "holding" procedure, which delays CABG and there is a defi nite increase in the need for repeat revascularization, often by CABG, in patients initially treated by PCI. There is at least one observational study suggesting disturbingly that prior PCI may increase (double) in-hospital mortality after CABG.…”