A SIMPLE PROGNOSTIC CLASSIFICATION MODEL FOR POST ...
A SIMPLE PROGNOSTIC CLASSIFICATION MODEL FOR POST-PROCEDURAL COMPLICATIONS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION FOR ACUTE MYOCARDIAL INFARCTION: RESULT BASED ON NEW YORK STATE PERCUTANEOUS CORONARY INTERVENTION DATABASE
A. Negassa
Albert Einstein College of Medicine, New York, USA
Objective: To develop a simple prognostic classification model for post-procedural complications.
Background: Previous post-procedural complications risk scores have shown very good performance. However, the need for real-time risk score computation makes their implementation in an emergency situation challenging. A more simplified approach can provide practitioners with a practical bedside prognostic classification tool.
Methods: We developed an easy-to-use prognostic classification model for post-procedural complications following early Percutaneous Coronary Intervention (PCI) for Acute Myocardial Infarction (AMI). The model was developed on the New York State PCI database for 1999-2000 (consisting of 5385 procedures) and was validated using the subsequent 2001-2002 database (consisting of 7414 procedures).
Results: Tree-structured prognostic classification modeling identified four key presenting features: cardiogenic shock, congestive heart failure, age and diabetes. In the validation data set, this prognostic classification model identified patient groups with post-procedural complications rate ranging from 1.0% to 22.8%, more than a twenty two-fold increased risk. The performance of this model was similar to the Mayo Clinic and another recently published risk scores with a discrimination capacity of 78% (95% CI: 75%, 80%).
Conclusion: Patients undergoing PCI for AMI can be readily stratified into distinct prognostic classes using the tree-structured model. This provides practicing cardiologists with an internally validated and easy-to-use scheme for post-procedural complications prognostic classification.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- how to write a simple business plan
- how to make a simple will
- a simple will form
- calculate a simple interest loan
- business model for a product
- form for a simple will
- simple linear regression model calculator
- simple linear regression model pdf
- a simple word for superior abuse
- simple make ahead appetizers for a party
- simple linear regression model equation
- in the simple circular flow model quizlet