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The validity of the Global Registry of Acute Coronary Events(GRACE)acute coronary syndrome prediction model for in hospital mortality in a sub population of Chongqing

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英文文摘

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Introduction

Methods

Result

Discussion

Limitation

Conclusion

References

Review 1:The use of risk scores for stratification of acute coronary syndrome patients

Review 2:The diagnosis and treatment of no-reflow phenomenon in patients with myocardial infarction undergoing PCI

Review 3:Which ACS score is best?

Acknowledgments

Published articles durling residency

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摘要

To determine the validity and applicability of the GRACEprediction model for in-hospital mortality in all forms of acute coronarysyndrome (ACS) in a sub population of Chongqing. Methods: Data of 667 ACS patients were collected retrospectivelyfrom Jan 2005 to Apr 2008 and were recorded on a standardized case reportform. For each patient the GRACE risk score was calculated (using theGRACE calculator available from the grace website) using specificvariables collected at admission. Patients with missing data and thosetransferred from other hospitals were excluded. Receiver operatingcharacteristic (ROC) curves was plotted for the GRACE risk score. Conclusion: The GRACE RS studied had a good predictive accuracyfor death or MI across the wide range of ACS in this population. It may bea useful risk stratification tool that helps identify high risk patients whowill benefit most from myocardial revascularization and low risk patientswho may be spared from undergoing more aggressive interventionaltreatment.

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