Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2011-3-22
pubmed:abstractText
Assessment of risk at time of discharge could be a useful tool for guiding postdischarge management. The aim of this study was to develop a novel and simple assessment tool for better hospital discharge risk stratification. The study included 3,997 hospital-discharged patients with acute myocardial infarction who were enrolled in the nationwide prospective Korea Acute Myocardial Infarction Registry-1 (KAMIR-1) from November 2005 through December 2006. The new risk score system was tested in 1,461 hospital-discharged patients who were admitted from January 2007 through January 2008 (KAMIR-2). The new risk score system was compared to the Global Registry of Acute Coronary Events (GRACE) postdischarge risk model during a 12-month clinical follow-up. During 1-year follow-up, all-cause death occurred in 228 patients (5.7%) and 81 patients (5.5%) in the development and validation cohorts, respectively. The new risk score (KAMIR score) was constructed using 6 independent variables related to the primary end point using a multivariable Cox regression analysis: age, Killip class, serum creatinine, no in-hospital percutaneous coronary intervention, left ventricular ejection fraction, and admission glucose based on multivariate-adjusted risk relation. The KAMIR score demonstrated significant differences in its predictive accuracy for 1-year mortality compared to the GRACE score for the developmental and validation cohorts. In conclusion, the KAMIR score for patients with acute myocardial infarction is a simpler and better risk scoring system than the GRACE hospital discharge risk model in prediction of 1-year mortality.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1879-1913
pubmed:author
pubmed:copyrightInfo
Copyright © 2011 Elsevier Inc. All rights reserved.
pubmed:issnType
Electronic
pubmed:day
1
pubmed:volume
107
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
965-971.e1
pubmed:meshHeading
pubmed-meshheading:21256468-Aged, pubmed-meshheading:21256468-Angioplasty, Balloon, Coronary, pubmed-meshheading:21256468-Blood Glucose, pubmed-meshheading:21256468-Blood Pressure, pubmed-meshheading:21256468-Cause of Death, pubmed-meshheading:21256468-Cohort Studies, pubmed-meshheading:21256468-Creatinine, pubmed-meshheading:21256468-Death, Sudden, Cardiac, pubmed-meshheading:21256468-Electrocardiography, pubmed-meshheading:21256468-Female, pubmed-meshheading:21256468-Follow-Up Studies, pubmed-meshheading:21256468-Heart Rate, pubmed-meshheading:21256468-Humans, pubmed-meshheading:21256468-Korea, pubmed-meshheading:21256468-Male, pubmed-meshheading:21256468-Multivariate Analysis, pubmed-meshheading:21256468-Myocardial Infarction, pubmed-meshheading:21256468-Patient Discharge, pubmed-meshheading:21256468-Proportional Hazards Models, pubmed-meshheading:21256468-Prospective Studies, pubmed-meshheading:21256468-Registries, pubmed-meshheading:21256468-Risk Assessment, pubmed-meshheading:21256468-Survival Rate, pubmed-meshheading:21256468-Ventricular Dysfunction, Left
pubmed:year
2011
pubmed:articleTitle
Hospital discharge risk score system for the assessment of clinical outcomes in patients with acute myocardial infarction (Korea Acute Myocardial Infarction Registry [KAMIR] score).
pubmed:affiliation
Chonnam National University Hospital, Gwangju, South Korea.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't