APACHE-II score and Killip class for patients with acute myocardial infarction

Mercado-Martínez, Juan; Rivera-Fernández, Ricardo; Aguilar-Alonso, Eduardo; García-Alcántara, Ángel; Estivill-Torrull, Andrés; Aranda-León, Agustín; Guia-Rambla, María Consuelo; Fuset-Cabanes, M.P.; Ariam, Grupo

doi:10.1007/s00134-010-1832-6

Cited by 22 publications

(15 citation statements)

References 37 publications

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“…22 Recently, the same group found that a prognostic model that included the Killip classification and APACHE II showed good accuracy. 24 Our study was the first one to compare the performance of two recent general scores (APACHE IV and SAPS 3) and one specific ACS score (GRACE). SAPS 3 demonstrated poor calibration, which may have been due to inappropriateness for assessing an ACS population or to different clinical presentation and treatment choices in this specific population.…”

Section: Discussionmentioning

confidence: 99%

SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

et al. 2013

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CONTEXT AND OBJECTIVE: Acute coronary syndromes (ACS) are a common cause of intensive care unit (ICU) admission. Specific prognostic scores have been developed and validated for ACS patients and, among them, GRACE (Global Registry of Acute Coronary Events) has had the best performance. However, intensive care clinicians generally use prognostic scores developed from heterogeneous populations of critically ill patients, such as APACHE IV (Acute Physiologic and Chronic Health Evaluation IV) and SAPS 3 (Simplified Acute Physiology Score 3). The aim of this study was to evaluate and compare the performance of these three scores in a non-selected population of ACS cases.

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Section: Discussionmentioning

confidence: 99%

SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

et al. 2013

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“…In a previous published article, we analyzed the prognostic value of Killip and APACHE II systems in ST-elevation myocardial infarction (STEMI); the 2 systems identified as being complementary and useful for assessing the severity of AMI [22]. Moreover, we observed that Killip classification, age, and sex were able to distinguish prognostic groups within STEMI patients.…”

Section: Introductionmentioning

confidence: 85%

“…We have selected variables based on the findings in the univariable analysis of this study, previous studies we had carried out [22] and existing literature. For ease of interpretation and later use of the findings in our study, we have classified the age variable following the example of previous authors [27].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of prognostic scale Thrombolysis In Myocardial Infarction and Killip. An ST-elevation myocardial infarction new scale

García-Paredes

Aguilar-Alonso²,

Arboleda-Sánchez

et al. 2014

The American Journal of Emergency Medicine

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“…Indeed, "shortness of breath" can be considered a surrogate for heart failure and/or myocardial infarct size. In fact, it has been demonstrated that increased Killip class was associated with poorer outcome (8,9). Jabbari et al identified Killip class > 1 at admission as a predictive factor of ventricular fibrillation (VF) before primary percutaneous coronary intervention in patients with STEMI (7).…”

Section: Editorialmentioning

confidence: 99%

We must identify patients at risk for pre-hospital sudden cardiac arrest at the early phase of myocardial infarction

Montero

Schmidt

2017

J. Thorac. Dis.

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Global coronary heart disease mortality has markedly decreased for the last 4 decades thanks to primary prevention. More than half of the total reduction has been achieved by controlling cardiovascular risk factors (1). Concurrently, effective therapeutic modalities have contributed to reducing further in-hospital fatal events, obtaining a 6-8% reduction (1,2). Meanwhile, out-of-hospital sudden cardiac arrest (SCA) secondary to myocardial infarction remains high, and still represents the majority of all fatal cardiac events (3). Although there is a large amount of literature regarding this sudden and unexpected complication, there is still need for a better understanding of associated risk factors and to identify patients at highest risk for SCA at the pre-hospital phase. Early recognition of the risk of this grim complication could permit a better triage of high-risk patients and consequently improve their outcome.Concerned by the high pre-hospital mortality in STsegment-elevation myocardial infarction (STEMI), Karam et al. have recently performed a landmark study aimed at identifying characteristics of STEMI patients presenting with out-of-hospital SCA (4). Using a prospective population-based design, they included patients from the e-MUST (Evaluation en Médecine d'Urgence des Stratégies Thérapeutiques des infarctus du myocarde) registry between 2006 and 2010, which includes all the out-of-hospital STEMI patients managed by the Emergency Medical Service (EMS) in Paris area. In short, it combines data collected by the EMS dispatch call center and the EMS physician in the field. They included patients that were primarily managed by the EMS, alive at EMS arrival, with typical angina and a STEMI-compatible electrocardiogram (ECG). Pre-hospital SCA was defined as a "sudden and unexpected pulseless event without obvious extracardiac cause occurring before hospital arrival and witnessed by the EMS". Patients with SCA prior to EMS arrival were excluded because of ECG's poor predictive value for STEMI diagnosis after resuscitation.Eight thousand one hundred and twelve STEMI patients {median age [interquartile range]: 60 years, 78% male} were managed by the EMS within 60 [26-165] minutes after pain onset. Four hundred and fiftytwo patients (5.6%) presented EMS-witnessed out-ofhospital SCA, with ventricular tachycardia or ventricular fibrillation as the most frequent initial rhythms (348 patients, 76.9%). Survival in this population was 63.9%, which was significantly lower than reported in the non-SCA population (95.9%). SCA patients with complete data were randomly split into two cohorts, namely a derivation cohort (two thirds of the population) and a validation cohort (one third of the population). From the derivation cohort, pre-hospital risk factors of SCA were Editorial

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APACHE-II score and Killip class for patients with acute myocardial infarction

Cited by 22 publications

References 37 publications

SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?

Evaluation of prognostic scale Thrombolysis In Myocardial Infarction and Killip. An ST-elevation myocardial infarction new scale

We must identify patients at risk for pre-hospital sudden cardiac arrest at the early phase of myocardial infarction

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