Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1806-9282.65.8.1074 http://hdl.handle.net/11449/199430 |
Resumo: | BACKGROUND: The objective of this study was to evaluate the performance of the Framingham risk score (FRS) and risk score by the American College of Cardiology/American Heart Association (SR ACC/AHA) in predicting mortality of patients ten years after acute coronary syndrome (ACS). METHODS: This is a retrospective cohort study that included patients aged ≥ 18 years with ACS who were hospitalized at the Coronary Intensive Care Unit (ICU) of the Botucatu Medical School Hospital from January 2005 to December of 2006. RESULTS: A total of 447 patients were evaluated. Of these, 118 were excluded because the mortality in 10 years was not obtained. Thus, 329 patients aged 62.9 ± 13.0 years were studied. Among them, 58.4% were men, and 44.4% died within ten years of hospitalization. The median FRS was 16 (14-18) %, and the ACC/AHA RS was 18.5 (9.1-31.6). Patients who died had higher values of both scores. However, when we classified patients at high cardiovascular risk, only the ACC/AHA RS was associated with mortality (p <0.001). In the logistic regression analysis, both scores were associated with mortality at ten years (p <0.001). CONCLUSIONS: Both FRS and SR ACC/AHA were associated with mortality. However, for patients classified as high risk, only the ACC/ AHA RS was associated with mortality within ten years. |
id |
UNSP_bf4224cbfdc1f2c8614415d924df5393 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/199430 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary SyndromesAngina,MortalityMyocardial infarctionRisk AssessmentUnstableBACKGROUND: The objective of this study was to evaluate the performance of the Framingham risk score (FRS) and risk score by the American College of Cardiology/American Heart Association (SR ACC/AHA) in predicting mortality of patients ten years after acute coronary syndrome (ACS). METHODS: This is a retrospective cohort study that included patients aged ≥ 18 years with ACS who were hospitalized at the Coronary Intensive Care Unit (ICU) of the Botucatu Medical School Hospital from January 2005 to December of 2006. RESULTS: A total of 447 patients were evaluated. Of these, 118 were excluded because the mortality in 10 years was not obtained. Thus, 329 patients aged 62.9 ± 13.0 years were studied. Among them, 58.4% were men, and 44.4% died within ten years of hospitalization. The median FRS was 16 (14-18) %, and the ACC/AHA RS was 18.5 (9.1-31.6). Patients who died had higher values of both scores. However, when we classified patients at high cardiovascular risk, only the ACC/AHA RS was associated with mortality (p <0.001). In the logistic regression analysis, both scores were associated with mortality at ten years (p <0.001). CONCLUSIONS: Both FRS and SR ACC/AHA were associated with mortality. However, for patients classified as high risk, only the ACC/ AHA RS was associated with mortality within ten years.Departamento de Clínica Médica Faculdade de Medicina de Botucatu Unesp – Univ Estadual PaulistaDepartamento de Clínica Médica Faculdade de Medicina de Botucatu Unesp – Univ Estadual PaulistaUniversidade Estadual Paulista (Unesp)Petek, Amanda Aparecida [UNESP]Costa, Nara Aline [UNESP]Pereira, Filipe Welson Leal [UNESP]dos Santos, Ezequiel Aparecido [UNESP]Okoshi, Katashi [UNESP]Zanati, Silmeia Garcia [UNESP]Azevedo, Paula Schmidt [UNESP]Polegato, Bertha Furlan [UNESP]de Paiva, Sergio Alberto Rupp [UNESP]Zornoff, Leonardo Antônio Mamede [UNESP]Minicucci, Marcos Ferreira [UNESP]2020-12-12T01:39:33Z2020-12-12T01:39:33Z2019-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1074-1079application/pdfhttp://dx.doi.org/10.1590/1806-9282.65.8.1074Revista da Associacao Medica Brasileira, v. 65, n. 8, p. 1074-1079, 2019.0104-4230http://hdl.handle.net/11449/19943010.1590/1806-9282.65.8.1074S0104-423020190008010742-s2.0-85072282399S0104-42302019000801074.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista da Associacao Medica Brasileirainfo:eu-repo/semantics/openAccess2024-08-14T17:22:26Zoai:repositorio.unesp.br:11449/199430Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:22:26Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
title |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
spellingShingle |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes Petek, Amanda Aparecida [UNESP] Angina, Mortality Myocardial infarction Risk Assessment Unstable |
title_short |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
title_full |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
title_fullStr |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
title_full_unstemmed |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
title_sort |
Performance of cardiovascular risk scores in mortality prediction ten years after Acute Coronary Syndromes |
author |
Petek, Amanda Aparecida [UNESP] |
author_facet |
Petek, Amanda Aparecida [UNESP] Costa, Nara Aline [UNESP] Pereira, Filipe Welson Leal [UNESP] dos Santos, Ezequiel Aparecido [UNESP] Okoshi, Katashi [UNESP] Zanati, Silmeia Garcia [UNESP] Azevedo, Paula Schmidt [UNESP] Polegato, Bertha Furlan [UNESP] de Paiva, Sergio Alberto Rupp [UNESP] Zornoff, Leonardo Antônio Mamede [UNESP] Minicucci, Marcos Ferreira [UNESP] |
author_role |
author |
author2 |
Costa, Nara Aline [UNESP] Pereira, Filipe Welson Leal [UNESP] dos Santos, Ezequiel Aparecido [UNESP] Okoshi, Katashi [UNESP] Zanati, Silmeia Garcia [UNESP] Azevedo, Paula Schmidt [UNESP] Polegato, Bertha Furlan [UNESP] de Paiva, Sergio Alberto Rupp [UNESP] Zornoff, Leonardo Antônio Mamede [UNESP] Minicucci, Marcos Ferreira [UNESP] |
author2_role |
author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Petek, Amanda Aparecida [UNESP] Costa, Nara Aline [UNESP] Pereira, Filipe Welson Leal [UNESP] dos Santos, Ezequiel Aparecido [UNESP] Okoshi, Katashi [UNESP] Zanati, Silmeia Garcia [UNESP] Azevedo, Paula Schmidt [UNESP] Polegato, Bertha Furlan [UNESP] de Paiva, Sergio Alberto Rupp [UNESP] Zornoff, Leonardo Antônio Mamede [UNESP] Minicucci, Marcos Ferreira [UNESP] |
dc.subject.por.fl_str_mv |
Angina, Mortality Myocardial infarction Risk Assessment Unstable |
topic |
Angina, Mortality Myocardial infarction Risk Assessment Unstable |
description |
BACKGROUND: The objective of this study was to evaluate the performance of the Framingham risk score (FRS) and risk score by the American College of Cardiology/American Heart Association (SR ACC/AHA) in predicting mortality of patients ten years after acute coronary syndrome (ACS). METHODS: This is a retrospective cohort study that included patients aged ≥ 18 years with ACS who were hospitalized at the Coronary Intensive Care Unit (ICU) of the Botucatu Medical School Hospital from January 2005 to December of 2006. RESULTS: A total of 447 patients were evaluated. Of these, 118 were excluded because the mortality in 10 years was not obtained. Thus, 329 patients aged 62.9 ± 13.0 years were studied. Among them, 58.4% were men, and 44.4% died within ten years of hospitalization. The median FRS was 16 (14-18) %, and the ACC/AHA RS was 18.5 (9.1-31.6). Patients who died had higher values of both scores. However, when we classified patients at high cardiovascular risk, only the ACC/AHA RS was associated with mortality (p <0.001). In the logistic regression analysis, both scores were associated with mortality at ten years (p <0.001). CONCLUSIONS: Both FRS and SR ACC/AHA were associated with mortality. However, for patients classified as high risk, only the ACC/ AHA RS was associated with mortality within ten years. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 2020-12-12T01:39:33Z 2020-12-12T01:39:33Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1806-9282.65.8.1074 Revista da Associacao Medica Brasileira, v. 65, n. 8, p. 1074-1079, 2019. 0104-4230 http://hdl.handle.net/11449/199430 10.1590/1806-9282.65.8.1074 S0104-42302019000801074 2-s2.0-85072282399 S0104-42302019000801074.pdf |
url |
http://dx.doi.org/10.1590/1806-9282.65.8.1074 http://hdl.handle.net/11449/199430 |
identifier_str_mv |
Revista da Associacao Medica Brasileira, v. 65, n. 8, p. 1074-1079, 2019. 0104-4230 10.1590/1806-9282.65.8.1074 S0104-42302019000801074 2-s2.0-85072282399 S0104-42302019000801074.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Revista da Associacao Medica Brasileira |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
1074-1079 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128120299978752 |