Value of six items of risk assessment scores for infections in prediction of infections in ST elevation myocardial infarction patients undergoing percutaneous coronary intervention therapy
10.11816/cn.ni.2025-241596
- VernacularTitle:感染六项风险评分对经皮冠状动脉介入治疗ST段抬高心肌梗死患者感染的预测价值
- Author:
Wenxin GAO
1
;
Lishan ZHU
;
Xinjie SHAO
;
Qiuying HAN
;
Jing LIANG
Author Information
1. 解放军总医院第二医学中心心血管内科解放军总医院老年医学研究所,北京 100143
- Publication Type:Journal Article
- Keywords:
Percutaneous coronary intervention;
ST elevation myocardial infarction;
Risk assessment score;
Infec-tion;
Major adverse clinical event
- From:
Chinese Journal of Nosocomiology
2025;35(18):2726-2730
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE T o verify and compare the values of the different risk assessment scores in prediction of in-fections in the ST elevation myocardial infarction(STEMI)patients undergoing percutaneous coronary interven-tion(PCI)therapy.METHODS A total of 226 STEMI patients who received PCI in The Second Medical Center of Chinese PLA General Hospital from Aug.2019 to Jul.2024 were recruited as the research subjects.The efficien-cies of the six types of risk assessment scores,including age,serum creatinine,or glomerular filtration rate/ejec-tion fraction(ACEF/AGEF)score,Canadian acute coronary syndrome(C ACS)score,embolism risk score 2(CHADS2)score,global register of acute coronary events(GRACE)score and for contrast induced nephropathy(Mehran)scorein prediction of infections and major adverse clinical events(M ACE)were analyzed.RESULTS All of the risk assessment scores showed remarkable discriminating capability in prediction of infections(AUC:0 746 to 0 791)except CHADS2 score[the area under the curve(AUC)=0.682;95％CI=0.652 to 0.712)].All of the risk assessment scores showed the excellent performance in calibration of infections except CACS risk assess-ment score(calibration slope=0.77;95％CI=0.18 to 1.35).The risk assessment scores also showed tremen-dous capability in discriminating MACE during the hospital stay except CHADS2 score,with the AUC ranging be-tween 0.700 and 0.786.All of the six types of risk assessment scores showed the most excellent performance in calibration of MACE during the hospital stay.CONCLUSION ACEF,AGEF,CACS,GRACE and Mehran scores show remarkable discriminating capability and calibration in prediction of infections and MACE.
