![]() Morrow D, Antman E, Charlesworth A, et al. Validasi skor thrombolysis in myocardial infarction (TIMI) dalam memprediksi mortalitas pasien sindrom koroner akut di Indonesia. Karakteristik sindrom koroner akut dengan edema paru kardiogenik di ICCU RS Cipto Mangunkusumo dan faktor-faktor yang berhubungan. The effect of admission creatinine levels on one-year mortality in acute myocardial infarction. the Killip class and GFR with satisfactory calibration and discrimination rate.Ĭakar MA, Gunduz H, Vatan MB, Kocayigit I, Akdemir R. Conclusion: There are two new score variables that can be used as predictors of 30-day mortality risks for STEMI patients, i.e. It was considered moderate if the total score was between 2.5 and 3.5 (23.2%) and low if the total score was 0.05) and discrimination (AUC 0.816 (0.756-0.875 CI 95%). The risk was considered high when the total score was >3.5 (46.5%). Thirty-day mortality risk stratification for STEMI patient included high, moderate and low risks. the Killip class II to IV and GFR with a range of total score between 0 and 4.6. Results: bivariate and multivariate analyses showed that only two variables in the new score system model were statistically significant, i.e. Calibration and discrimination features of the new model were assessed using Hosmer-Lemeshow test and area under receiver operating characteristic curve (AUC). Subsequently, a new scoring system was developed to predict 30-day mortality rate in STEMI patients. Data were obtained from medical records and analyzed with bivariate and multivariate method using Cox’s Proportional Hazard Regression Model. Sample size was calculated using the rule of thumbs formula. Methods: a retrospective cohort study was conducted in 487 STEMI patients who were hospitalized at RSUPN Cipto Mangunkusumo between 20. ST-segment depression on electrocardiography was helpful for ruling in ACS (LR+ = 5.3 95% CI, 2.1 to 8.6).Background: to identify other factors other than the TIMI scores that can be used as predictors of 30-day mortality in STEMI patients by including variables of left ventricle ejection fraction (LVEF) and glomerulus filtration rate (GFR) at Cipto Mangunkusumo National Central General Hospital. The only significant physical examination finding was pain reproduced by palpation, which was helpful for ruling out ACS (negative likelihood ratio = 1.2 95% CI, 1.0 to 1.2). Significant symptoms included pain radiating to both arms (LR+ = 2.6 95% CI, 1.8 to 3.7), pain similar to prior ischemia (LR+ = 2.2 95% CI, 2 to 2.6), and change in pain pattern over the previous 24 hours (LR+ = 2.0 95% CI, 1.6 to 2.5). Useful risk factors included a previous abnormal stress test result (LR+ = 3.1 95% CI, 2 to 4.7) and presence of peripheral arterial disease (LR+ = 2.7 95% CI, 1.5 to 4.8). Using only historical factors, the physician's overall clinical impression of definite ACS was moderately helpful for ruling in ACS (LR+ = 4.0 95% confidence interval, 2.5 to 6.6), but an impression of “definitely not” was not predictive. 1 The reference standard for diagnosis varied, but was commonly a discharge diagnosis of ACS or a cardiovascular event (cardiac death, myocardial infarction, or coronary revascularization) 14 to 42 days after presentation. A 2015 systematic review of 58 studies (N = 102,847) estimated the accuracy of individual factors in diagnosing ACS in patients of any age presenting to the emergency department with chest pain. ![]()
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