Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Discriminatory capacity of ACTION-ICU according to age - a score for all?
Session:
Posters (Sessão 5 - Écran 1) - DAC e Cuidados Intensivos 6 - MINOCA, género e idade
Speaker:
Mariana da Silva Santos
Congress:
CPC 2022
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.2 Acute Coronary Syndromes – Epidemiology, Prognosis, Outcome
Session Type:
Pósters Electrónicos
FP Number:
---
Authors:
Mariana da Silva Santos; Sofia b Paula; Helder Santos; Margarida Figueiredo; Inês Almeida; Samuel Almeida; João Tavares; Luís Santos; Lurdes Almeida
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Introduction</span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">: Risk stratification at admission is essential to define prognosis in patients (P) with non-ST elevation myocardial infarction (NSTEMI). The ACTION-ICU score quantifies the risk of initially stable patients with NSTEMI developing a complication requiring ICU care. It uses 9 variables, including age at a 70 years old cut off. </span></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">We aimed to validate ACTION-ICU score in our NSTEMI population and compare its predictive accuracy in P older and younger than 70 years old. </span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Methods</span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">: Single-center retrospective study including P admitted in the Cardiology department with ACS between 2016 and 2019. We compared 2 groups (G): A - <70 years old; B - ≥70 years old. Complications requiring ICU care (CICU) were defined as subsequent development of cardiac arrest, heart failure, high-grade atrioventricular block, respiratory failure, stroke, or in-hospital death.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Results</span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">: Among the 422 P admitted with NSTEMI included, mean age was 68.4±12.3 years old and 62.7% were male. GA had more males (69.8% vs 54.9%, p<0.001), lower rates of dyslipidaemia (49.3% vs 58.5%, p=0.048) and lower mean ACTION-ICU score (4.95 vs 6.09, p=0.003). The G were similar regarding other cardiovascular risk factors ad past history events, namely myocardial infarction, revascularization, heart failure, stroke and chronic kidney disease. The G were also similar regarding Killip-Kimball class, rhythm and haemodynamic conditions at admission, kidney function at admission, in-hospital usage of drugs and CICU. In NSTEMI general population, ACTION-ICU score was predictive of CICU (p<0.001, odds ratio (OR) 1.4, confidence interval (CI) 1.17-1.62) with fair accuracy (AUC 0.747), but was not predictive of 1-year mortality (1yM) (p=0.185) or 1-year readmission (1yRA) (p=0.140). In GA, ACTION-ICU score was predictive of CICU (p=0.025, OR 1.3, CI 1.04-1.71) with fair accuracy (AUC 0.719) and of 1yM (p=0.027, OR 1.3, CI 1.03-1.74) with poor accuracy (AUC 0.585). The score was not predictive of 1yRA (p=0.237). In GB, ACTION-ICU score was predictive of CICU (p=0.002, OR 1.4, CI 1.14-1.80) with good accuracy (AUC 0.786), but was not predictive of 1yM (p=0.736) or 1yRA (p=0.076).</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">Conclusion</span></span></strong><span style="font-size:12.0pt"><span style="font-family:"Times New Roman",serif">: In our center, ACTION-ICU score performed slightly better in older people in predicting CICU. In younger patients ACTION-ICU score may have an additional value at predicting long-term outcomes, namely 1yM. More studies are needed to validate ACTION-ICU score as a long-term prognostic tool.</span></span></span></span></p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site