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11 de mar. de 2005 · We found a statistically significant interaction between the risk of death or MI at 1 year, stratified by the best cut-off value for the GRACE and PURSUIT scores, and the benefit of myocardial revascularization. For the TIMI score this interaction was not statistically significant.
For patients with confirmed ACS, several scoring methods can be applied in order to distinguish patients in the coronary care unit who may benefit most from therapies. The PURSUIT, TIMI, GRACE and FRISC risk scores are well validated with this respect.
El score de riesgo del GRACE muestra una exactitud predictiva excelente para la mortalidad y para la variable combinada formada por muerte e IM a los 6 meses del episodio índice (c = 0,82 y c = 0,7 respectivamente).
Interpretation. The PURSUIT score predicts the risk of death or death/MI at 30 days after admission. ACS patients are divided into low, intermediate, and high risk patients, with suggested therapies of early discharge, watchful waiting, and aggressive antiplatelet / early invasive strategies, respectively.
We found a statistically significant interaction between the risk stratified by the best cut-off value for the GRACE and PURSUIT RSs and myocardial revascularization, with a better prognosis for the high-risk patients.
The HEART Score for Major Cardiac Events predicts 6-week risk of major adverse cardiac event.
Higher PURSUIT risk score was associated with greater likelihood of 3-vessel or left main disease (P <.001). The PURSUIT risk score had very good predictive accuracy for both early (30-day, C-statistic = 0.78) and late (30-day to 1-year, C-statistic = 0.77) mortality.
