Validity of the Global Registry of Acute Coronary Events risk score in prediction of acute myocardial infarction mortality in hospitalised Chinese patients aged 80 and over

被引:8
作者
Luo, Jing-guang [1 ]
Yang, Ming [1 ]
Han, Ling [1 ]
Chen, Li-wei [1 ]
Chen, Xin [1 ]
Gao, Kang [1 ]
Li, Xiao-hong [1 ]
Chen, Ping [1 ]
机构
[1] Capital Med Univ, Fu Xing Hosp, Dept Cardiol, Beijing, Peoples R China
关键词
aged 80 and over; hospital mortality; myocardial infarction; predictive value of tests; reproducibility of results; ASSOCIATION TASK-FORCE; PRACTICE GUIDELINES; FOCUSED UPDATE; INTERVENTION; OUTCOMES; ANGIOPLASTY; VALIDATION; MANAGEMENT; TRIAL; TIMI;
D O I
10.1111/ajag.12044
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
AimTo detect the validity of the Global Registry of Acute Coronary Events (GRACE) risk score in predicting acute myocardial infarction (AMI) mortality of Chinese inpatients aged 80 and over. MethodHospital mortality was defined as all-cause death rate of patients during hospitalisation. Using GRACE risk score to predict death risk, both discrimination (C statistic) and calibration (the predicted vs observed mortality based on the population with predicted risks) were evaluated. ResultsThree hundred eighty-six patients presenting with ST segment elevation AMI (STEMI) and non-STEMI were enrolled. The GRACE risk score ranged between 151 and 297, and the mortality was 23.3%. The overall discriminatory capacity of the GRACE model was high (C statistic 0.767, CI: 0.712-0.822). There was a high correlation (R-2= 0.833) between the predicted and observed hospitalised AMI mortality. ConclusionThe GRACE score is a useful risk prediction model for hospital mortality of Chinese AMI patients aged 80 and over.
引用
收藏
页码:E1 / E5
页数:5
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