A novel risk model including vascular access site for predicting 30-day mortality after primary PCI: The ALPHA score

详细信息    查看全文

• 作者：Istvan Hizoh ; ^{istvan.hizoh@alumni.uni-heidelberg.de} ; Zalan Gulyas ; Dominika Domokos ; Gyongyver Banhegyi ; Zsuzsanna Majoros ; Laszlo Major ; Timea Ratkai ; Robert Gabor Kiss
• 关键词：Primary percutaneous coronary intervention ; Mortality ; Risk model ; Access site
• 刊名：Cardiovascular Revascularization Medicine
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：18
• 期：1
• 页码：33-39
• 全文大小：585 K
• 卷排序：18

文摘

A prospective cohort study to construct a simple risk model including vascular access site for predicting 30-day mortality of patients undergoing primary PCI. Thirty-day mortality was independently associated with older age, faster heart rate, need for life support on or prior to admission, and femoral access while it was inversely related to systolic blood pressure. During comparative validation our score achieved the highest c-statistic. Using this tool, mortality risk may be assessed at admission and patients who may benefit most from transradial access may be identified.