In‐hospital mortality risk prediction after percutaneous coronary interventions: Validating and updating the toronto score in Brazil

Lodi-Junqueira, Lucas; Silva, José L. P. da; Ferreira, Luiz Fernando Lucas; Gonçalves, Humberto L.; Athayde, Guilherme Rafael S; Gomes, Thalles Oliveira; Borges, Júlio César; Nascimento, Bruno Ramos; Lemos, Pedro A.; Ribeiro, Antônio Luiz Pinho

doi:10.1002/ccd.25916

Cited by 10 publications

(12 citation statements)

References 46 publications

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“…However, very high risk patients (e.g. with cardiogenic shock) were excluded 25 or represented substantially less [26][27][28][29][30] in these works, partially explaining the higher mortality rates observed in our cohort. The presentation with cardiogenic shock in the analyzed ACS population (i.e.…”

Section: Cardiovascular Death Ratementioning

confidence: 85%

“…The depressed systolic function of the left ventricle was the single independent predictor of long-term cardiovascular mortality after both urgent and elective PCI. This negative effect of left ventricular dysfunction on post-PCI mortality is well-known 26,39 ; left ventricular ejection fraction is incorporated in many prognostic scores currently used for risk stratifi cation in CAD patients [40][41][42] .…”

Section: Discussionmentioning

confidence: 99%

“…The average in-hospital and 3-year mortality after PCI in different recent large registry studies ranges between 0.65-2.60% [25][26][27] and 5.6-9.8% [28][29][30] , respectively. However, very high risk patients (e.g.…”

Section: Cardiovascular Death Ratementioning

confidence: 99%

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Mortality predictors after percutaneous coronary intervention – a prospective single-center registry study

Hadadi¹,

Calburean²,

Grebenişan³

et al. 2020

Rom. J Cardio

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Objectives – To evaluate the predictors of three-year cardiovascular mortality after percutaneous coronary intervention (PCI) in a Romanian tertiary cardiovascular center. Methods – Consecutive patients treated by PCI in the Emergency Institute for Cardiovascular Diseases and Transplantation of Targu Mures were included prospectively in a local PCI Registry. Demographic, clinical, and procedural parameters of the patients enrolled in the year 2016 were statistically analyzed as possible predictors of three-year cardiovascular mortality post-PCI. Results – 1079 patients were included: 254 (23.5%) with ST-segment elevation acute myocardial infarction (STEMI), 278 (25.8%) with non-ST segment elevation acute coronary syndrome (NSTEACS) and 547 (50.7%) with chronic coronary syndrome (CCS). Three-year cardiovascular mortality was 20.1%, 10.8% and 5.7% after PCI for STEMI, NSTEACS and CCS, respectively. Cox proportional hazards regression evidenced as independent predictors of long-term mortality after PCI: low left ventricular ejection fraction (LVEF), renal dysfunction, presentation with cardiogenic shock or with cardiac arrest in the case of acute coronary syndromes, and the history of signifi cant valvular heart disease and low LVEF in the case of CCS (all p ≤0.01). Conclusions – Simple clinical variables but no procedural factors were the main predictors of 3-year cardiovascular mortality after PCI in this all-comers population.

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Section: Cardiovascular Death Ratementioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

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Mortality predictors after percutaneous coronary intervention – a prospective single-center registry study

Hadadi¹,

Calburean²,

Grebenişan³

et al. 2020

Rom. J Cardio

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“…Esta taxa é maior do que a 6/8 [32][33][34][35]. Na presente casuística, as altas incidências de complicações e mortalidade posterior podem ser justificadas pela inclusão apenas de pacientes internados, muitos por SCA, e pela gravidade dos pacientes atendidos, já que quase a metade possuía obstrução coronariana triarterial.…”

Section: Discussionunclassified

Caracterização do perfil e complicações intra-hospitalares dos pacientes submetidos ao cateterismo cardíaco em um hospital terciário

Braga

Silvano

Pereira

et al. 2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT Aims:To evaluate the profile of patients undergoing cardiac catheterization and in-hospital complications associated with the procedure. Methods: Cross-sectional analysis of baseline data of a retrospective cohort study conducted in a tertiary care hospital in southern Brazil between 2007 and 2013. The study included patients undergoing diagnostic or therapeutic cardiac catheterization. The data were extracted from electronic medical records using a standardized form and stored in a database for further analysis. Results: Out of 994 assessed patients, 584 (58.8%) were male. The mean age was 61.4 years. Hypertension was the most prevalent risk factor, followed by dyslipidemia and diabetes mellitus. Regarding clinical presentation, 550 (55.3%) patients had acute coronary syndrome, 402 (40.4%) had stable angina, and 42 (4.2%) were asymptomatic. Cineangiography was normal in 152 (15.3%) patients and abnormal in 842 (84.7%). Of these, 251 (29.8%) had single vessel disease, 190 (22.6%) had double vessel disease, and 401 (47.6%) had triple vessel disease. The overall incidence of complications was 15.6%, and 1% of the patients suffered some kind of major event (death during the procedure and neurological complications during their hospital stay). Other complications included acute kidney injury (1.4%) and local vascular complications (13.2%), mainly hematoma at the puncture site. Fifty (5%) patients died during the hospital stay, 46 (92%) of them from cardiac causes. Conclusions:The patients undergoing cardiac catheterization were predominantly male, with mean age of 61.4 years. The most frequent risk factors for cardiovascular disease included hypertension, dyslipidemia, and diabetes mellitus. Most of the patients had triple vessel disease. The main indication for the procedure was acute coronary syndrome. The overall incidence of complications was 15.6% with predominance of hematoma at the puncture site.

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“…Entre os pacientes com IAM com supradesnivelamento de ST, a mortalidade foi de 6,1%, sendo de 2,4% entre aqueles com síndrome coronária aguda sem supradesnivelamento de ST e 0,2% nas apresentações estáveis. Ainda no cenário nacional, os resultados dos procedimentos coronários percutâneos realizados em oito centros regionais foram analisados por Lodi-Junqueira et al 23 Os autores identificaram a presença de doença coronária multiarterial como fator preditor de óbito hospitalar (55,7% dos pacientes eram multiarteriais, com 1,9% de morte entre os biarteriais e 3,9% entre os triarteriais).…”

Section: Discussionunclassified

Percutaneous coronary intervention in patients with multivessel disease in Brazil

Falchetto¹,

Saad²,

Washizu³

et al. 2017

JOTCI

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In‐hospital mortality risk prediction after percutaneous coronary interventions: Validating and updating the toronto score in Brazil

Abstract: After updating to our dataset, we demonstrated that the Toronto PCI in-hospital mortality risk score performed well in Brazilian hospitals.

Cited by 10 publications

References 46 publications

Mortality predictors after percutaneous coronary intervention – a prospective single-center registry study

Mortality predictors after percutaneous coronary intervention – a prospective single-center registry study

Caracterização do perfil e complicações intra-hospitalares dos pacientes submetidos ao cateterismo cardíaco em um hospital terciário

Percutaneous coronary intervention in patients with multivessel disease in Brazil

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