Evaluation of Intermountain Risk Score for Short- and Long-Term Mortality in ST Elevation Myocardial Infarction Patients

医学 蒂米 心肌梗塞 内科学 溶栓 心脏病学 弗雷明翰风险评分 比例危险模型 接收机工作特性 回顾性队列研究 死亡率 疾病
作者
Tufan Çınar,Faysal Şaylık,Tayyar Akbulut,Yetkin Korkmaz,Vedat Çiçek,Süha Asal,Almina Erdem,Murat Selçuk,Mert İlker Hayıroğlu
出处
期刊:Angiology [SAGE]
卷期号:74 (4): 357-364 被引量:29
标识
DOI:10.1177/00033197221105753
摘要

The aim of this study was to examine the Intermountain Risk Score (IMRS) for short- and long-term mortality in ST elevation myocardial infarction (STEMI) patients and compare it with the well-known risk scores, such as the Thrombolysis in Myocardial Infarction (TIMI) and the Global Registry of Acute Coronary Events (GRACE). In this retrospective and cross-sectional study, 1057 consecutive patients with STEMI were evaluated. The end-points of the study were short- and long-term mortality. The overall mortality rate was 16% (n = 170 patients). The IMRS was significantly higher in STEMI patients who did not survive compared with those who survived. According to multivariable COX proportional regression analysis, the IMRS was independently related to both short- (HR: 1.482, 95% CI: 1.325–1.675, p < .001) and long-term mortality (HR: 1.915, 95% CI: 1.711–2.180, p < .001). The comparison of receiver operating characteristic curves revealed that the IMRS had non–inferior predictive capability for short- and long-term mortality than the TIMI and GRACE risk scores. To the best of our knowledge, this is the first study to show that the IMRS can predict short- and long-term prognosis of patients with STEMI. Further, the IMRS’ predictive value for overall mortality was non-inferior compared with TIMI and GRACE scores.
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