계명대학교 의학도서관 Repository

Hospital Discharge Risk Score System for the Assessment of Clinical Outcomes in Patients with Acute Myocardial Infarction (Korea Acute Myocardial Infarction Registry [KAMIR] Score)

Metadata Downloads
Author(s)
Hyun Kuk KimMyung Ho JeongYoungkeun AhnJong Hyun KimShung Chull ChaeYoung Jo KimSeung Ho HurIn Whan SeongTaek Jong HongDong Hoon ChoiMyeong Chan ChoChong Jin KimKi Bae SeungWook Sung ChungYang Soo JangSeung Woon RhaJang Ho BaeJeong Gwan ChoSeung Jung Park
Keimyung Author(s)
Hur, Seung Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
American Journal of Cardiology
Issued Date
2011
Volume
107
Issue
7
Abstract
Assessment of risk at time of discharge could be a useful tool for guiding postdischarge
management. The aim of this study was to develop a novel and simple assessment tool for
better hospital discharge risk stratification. The study included 3,997 hospital-discharged
patients with acute myocardial infarction who were enrolled in the nationwide prospective
Korea Acute Myocardial Infarction Registry-1 (KAMIR-1) from November 2005 through
December 2006. The new risk score system was tested in 1,461 hospital-discharged patients
who were admitted from January 2007 through January 2008 (KAMIR-2). The new risk
score system was compared to the Global Registry of Acute Coronary Events (GRACE)
postdischarge risk model during a 12-month clinical follow-up. During 1-year follow-up,
all-cause death occurred in 228 patients (5.7%) and 81 patients (5.5%) in the development
and validation cohorts, respectively. The new risk score (KAMIR score) was constructed
using 6 independent variables related to the primary end point using a multivariable Cox
regression analysis: age, Killip class, serum creatinine, no in-hospital percutaneous coronary
intervention, left ventricular ejection fraction, and admission glucose based on multivariate-
adjusted risk relation. The KAMIR score demonstrated significant differences in
its predictive accuracy for 1-year mortality compared to the GRACE score for the developmental
and validation cohorts. In conclusion, the KAMIR score for patients with acute
myocardial infarction is a simpler and better risk scoring system than the GRACE hospital
discharge risk model in prediction of 1-year mortality. © 2011 Elsevier Inc. All rights
reserved. (Am J Cardiol 2011;107:965–971)
Keimyung Author(s)(Kor)
허승호
Publisher
School of Medicine
Citation
Hyun Kuk Kim et al. (2011). Hospital Discharge Risk Score System for the Assessment of Clinical Outcomes in Patients with Acute Myocardial Infarction (Korea Acute Myocardial Infarction Registry [KAMIR] Score). American Journal of Cardiology, 107(7), 965–971. doi: 10.1016/j.amjcard.2010.11.018
Type
Article
ISSN
0002-9149
Source
https://linkinghub.elsevier.com/retrieve/pii/S0002914910025427
DOI
10.1016/j.amjcard.2010.11.018
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34921
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
Authorize & License
  • Authorize공개
  • EmbargoForever
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.