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BACKGROUND: This study aimed to assess the mortality risk in hospitalized STEMI patients using risk scoring system.
METHODS: It was an observational study performed in single Centre tertiary care hospital in STEMI patients undergone PCI admitted in CCU department. The patient data were collected for initial assessment. The data was introduced to TIMI and GRACE risk scoring systems and 30 day mortality risk was determined. Compared the feasibility of these two scoring systems.
RESULTS: A total 106 patients were included in the study. Out of these most were male (72.64%), and have smoking history (26.41%), alcoholic (16.07%), hypertension (63.20%), diabetes mellitus (60.37%), CKD (4.71%), hypothyroidism (5.66%) and dyslipidemia (3.77%) as their risk factor. 10(9.43%) were had in hospital mortality. The commonly seen STEMI was AWMI (46.22%), out of this AWMI (3.77%) carried high risk of mortality. For each patient TIMI and GRACE risk score was calculated and 30-day mortality risk were assessed. TIMI and GRACE risk scoring systems showed an excellent predictive value for 30 day mortality in patient treated with PCI.
CONCLUSION: Risk stratification of patients with STEMI undergone PCI can be done using risk scoring systems. However in our study, GRACE predicted the 30 day mortality over TIMI risk scoring system. This study emphasizes on the importance of good planning and predicting of STEMI in advance as a way to prevent the mortality and morbidity or lower its risk in individual by studying the risk factors and calculating the risk using TIMI and GRACE risk scoring systems.
Keywords:
ACS- Acute Coronary Syndrome TIMI- Thrombolysis in Myocardial Infarction GRACE- Global registry of acute coronary events PCI- Percutaneous Coronary Intervention STEMI- ST elevated Myocardial Infarction
Cite Article:
"Assessment of Mortality risk in hospitalised STEMI Patients using TIMI and GRACE risk scoring systems- An Observational study.", International Journal of Science & Engineering Development Research (www.ijrti.org), ISSN:2455-2631, Vol.9, Issue 2, page no.303 - 309, February-2024, Available :http://www.ijrti.org/papers/IJRTI2402047.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator