The predictive value of age, creatinine, ejection fraction score for in-hospital mortality in patients with cardiogenic shock
Coronary Artery Disease Nov 14, 2019
Çinar T, Hayiroğlu Mİ, Şeker M, et al. - In this single-center, retrospective analysis, researchers evaluated age, creatinine, and ejection fraction score as predictors of in-hospital death in patients with cardiogenic shock secondary to ST-elevation myocardial infarction. This inquiry was based on a comprehensive study of the hospital records of 318 consecutive cardiogenic shock patients. They found that patients with a high age, creatinine, ejection fraction score (T3 group) had significantly greater incidence of in-hospital mortality vs the intermediate (T2 group) or the low score group (T1 group). With regard to in-hospital mortality, a risk of 3.21 was revealed for patients allocated to the T3 group, as seen in multivariable models after adjusting for all covariables. A sensitivity and specificity of 74% and 77%, respectively, was yielded by age, creatinine, and ejection fraction score, for in-hospital mortality, at the optimal cutoff of 2.24. In such a patient population, the prognostic significance of the age, creatinine, ejection fraction score was shown for the first time ever in this study.
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