Walking Beyond the GRACE (Global Registry of Acute Coronary Events) Model in the Death Risk Stratification During Hospitalization in Patients With Acute Coronary Syndrome

Raposeiras‐Roubín, Sergio; Abu-Assi, Emad; Cabanas‐Grandío, Pilar; Agra-Bermejo, Rosa; Gestal-Romarí, Santiago; Pereira-López, Eva; Fandiño-Vaquero, Rubén; Álvarez‐Álvarez, Belén; Cambeiro, Cristina; Rodríguez-Cordero, Marta; Lear, Pamela; Martínez‐Monzonís, Amparo; Peña-Gil, Carlos; Garcı́a-Acuña, José Marı́a; González-Juanatey, José Ramón

doi:10.1016/j.jcin.2012.06.023

Cited by 27 publications

(25 citation statements)

References 24 publications

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“…The GRACE score is more accurate in predicting long-term mortality for myocardial infarction patients in China. 8,9 A recent study by Cinar et al (2019) showed that the results of his research support our study. Their study aims to evaluate the use of simple risk index score with TIMI Index (TRI) score to predict stent thrombosis (ST) in STEMI patients who underwent percutaneous primary coronary intervention (PCI).…”

Section: Discussionsupporting

confidence: 90%

Simple Risk Index Score and Hospitalization Mortality in Patients with ST-Elevation Myocardial Infarction

Marfianti

Anwar

Aryatama

2020

GMJ

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Introduction: Hospitalization mortality in ST-elevation Myocardial Infarction (STEMI) patients areaffected by several factors, including initial identification of the risks at hospital admission. Riskscore tools as a predictor of STEMI complication and death event in STEMI patients is a simple riskindex score. The aim of this study was to determine the association between simple risk index scoreand hospitalization mortality in STEMI patients.Methods: We retrospectively enrolled 60 consecutive patients who were admitted to our hospitaldiagnosed with STEMI. The simple risk index score was calculated for each patient using equation:heart rate x [age/10]2/systolic blood pressure. The patients were assigned into 2 groups according tothis score, high score and low score group. Incidence of death during hospitalization in STEMIpatients was recorded.Results: The total subjects were 60 people. The subjects consisted of 30 patients with low score and30 subjects with high score. The incidence of death during hospitalization in the group of high simplerisk index score were 26 patients, and in the group of low simple risk index score were 13 patients.The association between the simple risk index score and the deaths during hospitalization in STEMIpatients based on statistical analysis was significant (p= 0.00) and value of risk relative (RR) is 2.167;95% CI: 1.368-3.433; (p=0.000).Conclusion: Simple risk index score is associated with hospitalization mortality in ST-elevationmyocardial Infarction (STEMI) patients.

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Section: Discussionsupporting

confidence: 90%

Simple Risk Index Score and Hospitalization Mortality in Patients with ST-Elevation Myocardial Infarction

Marfianti

Anwar

Aryatama

2020

GMJ

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“…Then, patient charts were retrieved and collected from record and documentation office. Data were collected by developing a data abstraction format which was prepared using global registry of acute coronary events (GRACE) as well as incorporating studies from India and European countries [16][17][18][19][20][21]. Four trained clinical pharmacists who had good experience in the clinical practice were recruited for data collection.…”

Section: Methodsmentioning

confidence: 99%

Treatment outcome of acute coronary syndrome patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia; A retrospective cross-sectional study

et al. 2020

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Background Acute coronary syndrome (ACS) is increasingly becoming a common cause of cardiovascular mortality in developing countries. Even though, there is an introduction of limited percutaneous coronary intervention and thrombolytic therapies, in-hospital mortality due to ACS still remains high in sub-Saharan countries. Objective The aim of the study was to assess treatment outcome of ACS patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia. Methods A retrospective cross-sectional study was done by collecting data from patients' medical records using a data abstraction tool. Data were analyzed using logistic regression to determine crude and adjusted odds ratio. At 95% confidence interval, p-value<0.05 was considered as statistically significant. Results Of the total 151 patients, in-hospital mortality was found to be 24.5%, and hypertension was the most frequent (46.4%) risk factor of ACS. Concerning the management practice, catheterization and primary percutaneous coronary intervention were done in 27.1%, and 3.9% respectively. Additionally, in emergency setting loading dose of aspirin and clopidogrel were used in about 63.8% and 62.8%, respectively. The other frequently used medications were beta-blockers (86.9%), angiotensin converting enzymes/angiotensin receptor blockers

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“…In patients with STEMI, previous MI, door to balloon time, the presence of diabetes, anemia, chronic renal failure, and ejection fraction on admission are the main predictors of mortality. Risk scores such as TIMI, GRACE, PAMI, Zwolle, or CADILLAC are commonly applied as mortality indicators (3)(4)(5)(6)13,14). Beyond clinical data, angiographic data are also used to predict the longterm prognosis, such as the SYNTAX score (15).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, risk stratification is essential for clinical decision and management. Various risk scores such as Thrombolysis in Myocardial Infarction (TIMI), GRACE, and ZWOLLE have been applied (3)(4)(5). Besides angiographic variables, clinical data, such as the presence of anemia and renal impairment, are independent risk factors for in-hospital cardiovascular mortality.…”

Section: Introductionmentioning

confidence: 99%

A simple risk score in acute ST-elevation myocardial infarction: Modified ACEF(age, creatinine, and ejection fraction) score

et al. 2016

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Walking Beyond the GRACE (Global Registry of Acute Coronary Events) Model in the Death Risk Stratification During Hospitalization in Patients With Acute Coronary Syndrome

Abstract: Despite having been developed over 8 years ago, the GRACE RS still maintains its excellent performance for predicting in-hospital risk of death among ACS patients.

Cited by 27 publications

References 24 publications

Simple Risk Index Score and Hospitalization Mortality in Patients with ST-Elevation Myocardial Infarction

Simple Risk Index Score and Hospitalization Mortality in Patients with ST-Elevation Myocardial Infarction

Treatment outcome of acute coronary syndrome patients admitted to Ayder Comprehensive Specialized Hospital, Mekelle, Ethiopia; A retrospective cross-sectional study

A simple risk score in acute ST-elevation myocardial infarction: Modified ACEF(age, creatinine, and ejection fraction) score

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