Source:http://linkedlifedata.com/resource/pubmed/id/21256468
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2011-3-22
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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.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1879-1913
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pubmed:author |
pubmed-author:AhnYoungkeunY,
pubmed-author:BaeJang HoJH,
pubmed-author:ChaeShung ChullSC,
pubmed-author:ChoJeong GwanJG,
pubmed-author:ChoMyeong ChanMC,
pubmed-author:ChoiDong HoonDH,
pubmed-author:ChungWook SungWS,
pubmed-author:HongTaek JongTJ,
pubmed-author:HurSeung HoSH,
pubmed-author:JangYang SooYS,
pubmed-author:JeongMyung HoMH,
pubmed-author:KimChong JinCJ,
pubmed-author:KimHyun KukHK,
pubmed-author:KimJong HyunJH,
pubmed-author:KimYoung JoYJ,
pubmed-author:Other Korea Acute Myocardial Infarction Registry Investigators,
pubmed-author:ParkSeung JungSJ,
pubmed-author:RhaSeung WoonSW,
pubmed-author:SeongIn WhanIW,
pubmed-author:SeungKi BaeKB
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pubmed:copyrightInfo |
Copyright © 2011 Elsevier Inc. All rights reserved.
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pubmed:issnType |
Electronic
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pubmed:day |
1
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pubmed:volume |
107
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
965-971.e1
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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
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pubmed:year |
2011
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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).
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pubmed:affiliation |
Chonnam National University Hospital, Gwangju, South Korea.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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