已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Predicting the no-reflow phenomenon in ST-elevation myocardial infarction patients undergoing primary percutaneous coronary intervention: a systematic review of clinical prediction models

医学 传统PCI 经皮冠状动脉介入治疗 心肌梗塞 蒂米 内科学 批判性评价 数据提取 检查表 血运重建 心脏病学 急诊医学 重症监护医学 梅德林 病理 心理学 替代医学 政治学 法学 认知心理学
作者
Reza Ebrahimi,Maryam Rahmani,Parisa Fallahtafti,Amirhossein Ghaseminejad‐Raeini,Alireza Azarboo,Arash Jalali,Mehdi Mehrani
出处
期刊:Therapeutic Advances in Cardiovascular Disease [SAGE]
卷期号:18
标识
DOI:10.1177/17539447241290438
摘要

Background: The no-reflow (NRF) phenomenon is the “Achilles heel” of interventionists after performing percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI). No definitive treatment has been proposed for NRF, and preventive strategies are central to improving care for patients who develop NRF. Objectives: In this study, we aim to investigate the clinical prediction models developed to predict NRF in STEMI patients undergoing primary PCI. Design: Systematic review. Data sources and methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were observed. Studies that developed clinical prediction modeling for NRF after primary PCI in STEMI patients were included. Data extraction was performed using the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modeling Studies (CHARMS) checklist. The Prediction Model Risk of Bias Assessment Tool (PROBAST) tool was used for critical appraisal of the included studies. Results: The three most common predictors were age, total ischemic time, and preoperative thrombolysis in myocardial infarction flow grade. Most of the included studies internally validated their developed model via various methods: random split, bootstrapping, and cross-validation. Only three studies (18%) externally validated their model. Six studies (37%) reported a calibration plot with or without the Hosmer–Lemeshow test. The reported area under the curve ranged from 0.648 to 0.925. The most common biases were in the statistical domain. Conclusion: Clinical prediction models aid in individualizing care for STEMI patients with NRF after primary PCI. Of the 16 included studies, we report four to have a low risk of bias and low concern with regard to our research question, which should undergo external validation with or without updating in future studies.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
2秒前
科研通AI2S应助LILI采纳,获得10
4秒前
7秒前
棠棠完成签到 ,获得积分10
8秒前
10秒前
楼翩跹完成签到 ,获得积分10
11秒前
12秒前
tangyuan完成签到,获得积分10
13秒前
充电宝应助哈哈采纳,获得10
14秒前
DW发布了新的文献求助20
14秒前
嗝嗝完成签到,获得积分10
15秒前
tangyuan发布了新的文献求助10
16秒前
LILI完成签到,获得积分10
18秒前
爆米花应助lengyan采纳,获得10
30秒前
李爱国应助冷灰天花板采纳,获得10
31秒前
33秒前
33秒前
HJJ完成签到,获得积分10
34秒前
大傻春完成签到 ,获得积分10
36秒前
王王完成签到,获得积分20
36秒前
39秒前
Gav发布了新的文献求助10
44秒前
托勒吃苹果完成签到,获得积分20
46秒前
自由擎汉完成签到,获得积分20
47秒前
充电宝应助lengyan采纳,获得10
47秒前
50秒前
无情的匪完成签到 ,获得积分10
52秒前
52秒前
53秒前
充电宝应助托勒吃苹果采纳,获得10
54秒前
冷灰天花板完成签到,获得积分10
54秒前
酷波er应助科研通管家采纳,获得10
54秒前
54秒前
Gav完成签到,获得积分20
55秒前
Owen应助王王采纳,获得10
58秒前
58秒前
1分钟前
guan完成签到 ,获得积分10
1分钟前
1分钟前
HJJ关注了科研通微信公众号
1分钟前
高分求助中
Evolution 10000
юрские динозавры восточного забайкалья 800
English Wealden Fossils 700
Distribution Dependent Stochastic Differential Equations 500
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
A new species of Velataspis (Hemiptera Coccoidea Diaspididae) from tea in Assam 500
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3158547
求助须知:如何正确求助?哪些是违规求助? 2809652
关于积分的说明 7883366
捐赠科研通 2468389
什么是DOI,文献DOI怎么找? 1314115
科研通“疑难数据库(出版商)”最低求助积分说明 630572
版权声明 601963