We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Primer Perkütan Koroner Girişim Yapılan ST-Segment Elevasyonlu Miyokard Enfarktüsünde MELD-Albumin Skorunun Prediktif Rolü.
- Authors
DERELİ, Seçkin; YENERÇAĞ, Mustafa; KAYA, Ahmet
- Abstract
Background: The Model for End-stage Liver Disease excluding the international normalised ratio (INR, MELDXI) and modified MELD, which uses albumin in place of the INR (MELD-Albumin) scores reflect liver and renal function and are predictors of mortality. Although MELD score has been studied in patients with ST-segment elevation myocardial infarction (STEMI), prognostic value of MELD-XI and MELD-Albumin scores has not been studied in those patients. Our aim was to determine the predictive value of MELD-XI and MELD-Albumin scores on mortality in patients with STEMI. Materials and Methods: 1506 consecutive STEMI patients who applied to the emergency department and underwent primary percutaneous coronary intervention (PPCI) were evaluated retrospectively. The parameters evaluated for prognosis were primarily mortality and other major cardiac events (MACE) at in-hospital and 12- month follow-up. Patients were stratified into 5 groups according to MELD-Albumin score. Results: The patients with higher MELD-Albumin and MELD-XI scores had significantly higher in-hospital and long-term mortality. The multiple logistic regression analysis identified the MELD-XI and MELD-Albumin scores as the independent predictors of in-hospital and 12-month mortality. ROC curve analysis showed that area under curve (AUC)s of MELD-Albumin were higher than than MELD-XI AUCs for predicting mortality both in-hospital and at 12-month follow-up. Conclusions: The MELD-Albumin score is an easily calculable, reliable, and practical risk assessment tool. This score may be used as an independent predictor of in-hospital and long-term mortality in patients with STEMI.
- Subjects
MYOCARDIAL infarction-related mortality; CARDIOVASCULAR diseases; ELECTROCARDIOGRAPHY; MEDICAL records; MYOCARDIAL infarction; RISK assessment; SERUM albumin; MULTIPLE regression analysis; PREDICTIVE tests; RETROSPECTIVE studies; RECEIVER operating characteristic curves; DESCRIPTIVE statistics; HOSPITAL mortality; INTERNATIONAL normalized ratio; ACQUISITION of data methodology; PERCUTANEOUS coronary intervention
- Publication
Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi, 2020, Vol 17, Issue 3, p389
- ISSN
1304-9623
- Publication type
Article
- DOI
10.35440/hutfd.759438