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

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Lucas Lodi-JunqueiraAntônio L P Ribeiro

Abstract

We aimed to assess the accuracy of the simple, contemporary and well-designed Toronto PCI mortality risk score in ICP-BR registry, the first Brazilian PCI multicenter registry with follow-up information. Estimating percutaneous coronary intervention (PCI) mortality risk by a clinical prediction model is imperative to help physicians, patients and family members make informed clinical decisions and optimize participation in the consent process, reducing anxiety and improving quality of care. At a healthcare system level, risk prediction scores are essential to measure and benchmark performance. Between 2009 and 2013, a cohort of 4,806 patients from the ICP-BR registry, treated with PCI in eight tertiary referral medical centers, was included in the analysis. This population was compared to 10,694 patients of the derivation dataset from the Toronto study. To assess predictive performance, an update of the model was performed by three different methods, which were compared by discrimination, calculating the area under the receiver operating characteristic curve (AUC), and by calibration, assessed through Hosmer-Lemeshow (H-L) test and graphical analysis. Death occurred in 2.6% of patients in the ICP-BR registry and in 1.3% in the ...Continue Reading

References

May 29, 2000·American Heart Journal·C S RihalD R Holmes
Dec 21, 2000·Statistics in Medicine·H C van Houwelingen
Dec 10, 2003·Journal of the American College of Cardiology·Mansoor A QureshiWilliam W O'Neill
Jul 13, 2004·European Heart Journal·Mario TogniUNKNOWN Working Group, Interventional Cardiology and Coronary Pathophysiology, European Society of Cardiology
Aug 3, 2004·Statistics in Medicine·Ewout W SteyerbergJ Dik F Habbema
May 27, 2005·The New England Journal of Medicine·Edward L HannanEric A Rose
Feb 7, 2006·Journal of the American College of Cardiology·Chuntao WuRobert H Jones
Apr 29, 2006·American Heart Journal·J Richard GossUNKNOWN Clinical Outcomes Assessment Program
Oct 26, 2006·Revista de saúde pública·Lenice Harumi IshitaniElisabeth França
Jun 6, 2007·Prevention Science : the Official Journal of the Society for Prevention Research·John W GrahamTamika D Gilreath
Dec 17, 2008·American Heart Journal·Saqib ChowdharyVladimír Dzavík
Aug 15, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jaap N HamburgerChristopher E Buller
Oct 20, 2009·Arquivos brasileiros de cardiologia·Antonio Luiz Pinho Ribeiro
Oct 20, 2009·Arquivos brasileiros de cardiologia·Graça Maria Tavares de Melo FerreiraArmênio Costa Guimarães
Sep 1, 2008·Circulation. Cardiovascular Quality and Outcomes·Suzanne V ArnoldJohn A Spertus
May 1, 2010·Journal of the American College of Cardiology·Eric D PetersonUNKNOWN NCDR Registry Participants
Aug 19, 2010·JAMA : the Journal of the American Medical Association·Christian Juhl TerkelsenJens Flensted Lassen
Apr 7, 2011·Arquivos brasileiros de cardiologia·Leopoldo Soares Piegas, Nagib Haddad

❮ Previous
Next ❯

Citations

Aug 2, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Sinjini BiswasDion Stub
Oct 8, 2020·Arquivos brasileiros de cardiologia·Gláucia Maria Moraes de OliveiraAntonio Luiz Pinho Ribeiro

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the American College of Cardiology
Chuntao WuRobert H Jones
Revista brasileira de cirurgia cardiovascular : órgão oficial da Sociedade Brasileira de Cirurgia Cardiovascular
Mário Augusto Cray da CostaDanton Richilin Rocha Loures
Journal of Pain and Symptom Management
Christine W DuartePaul K J Han
© 2022 Meta ULC. All rights reserved