Predictive Value of Combination Scores of Leukocyte and Platelet Counts for Mortality in Patients With Acute ST Segment Elevation Myocardial Infarction After PCI Treatment
10.3969/j.issn.1000-3614.2014.10.003
- VernacularTitle:白细胞计数和血小板计数联合评分对急性ST段抬高型心肌梗死患者急诊经皮冠状动脉介入治疗术后在院死亡危险评估的研究
- Author:
You CHEN
;
Chunming WANG
;
Dongze LI
;
Yitong MA
;
Yining YANG
;
Xiaomei LI
;
Yang XIANG
;
Zixiang YU
;
Xiang XIE
- Publication Type:Journal Article
- Keywords:
Leukocytes;
Platelet count;
ST segment elevation myocardial infarction;
In-hospital mortality
- From:
Chinese Circulation Journal
2014;(10):767-771
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To study the predictive value of combination scores of leukocyte and platelet counts (COL-P) for in-hospital mortality in patients with acute ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI) treatment. Methods: A total of 660 STEMI patients with emergent PCI in our hospital from 2009-11 to 2013-08 were retrospectively studied. The patients were divided into 3 groups according to COL-P scores: COL-P0 group,n=283, COL-P1 group,n=319 and COL-P3 group,n=58. The relationship between the in-hospital mortality and COL-P scores was analyzed among different groups. Results: There were 88/660 in-hospital death. The patients in death group had the higher white blood cell count and lower platelet count than those in survival group, bothP<0.01. Logistic regression analysis indicated that compared with COL-P0 group, the COL-P scores at COL-P1 level (OR 4.346, 95% CI 2.134-8.850,P<0.001) and COL-P2 level (OR 10.126, 95% CI 4.061-25.250,P<0.001) were the independent risk factors for in-hospital death in STEMI patients after emergent PCI. The in-hospital mortality in COL-P0, COL-P1 and COL-P2 groups were at 4.9%, 15.4% and 43.1% respectively, allP<0.001. Conclusion: COL-P score was useful for predicting the in-hospital mortality in STEMI patients after emergent PCI, while the long term mortality estimation should be further studied.
