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Patient-oriented risk score for predicting death 1 year after myocardial infarction : the SweDen risk score
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- Rylance, Rebecca Tremain (författare)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital,Lund Univ, Dept Cardiol, Clin Sci, Lund, Sweden.;Skane Univ Hosp, Lund, Sweden.
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- Wagner, Philippe (författare)
- Uppsala universitet,Uppsala University,Centrum för klinisk forskning, Västerås,Uppsala Univ, Sweden
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- Olesen, Kevin K W (författare)
- Aarhus University Hospital,Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark.
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- (creator_code:org_t)
- 2022-12-02
- 2022
- Engelska 6 s.
- Ingår i: Open Heart. - : BMJ. - 2053-3624. ; 9:2
- Tidskriftsartikel (refereegranskat)
Abstract
Ämnesord
Stäng
- OBJECTIVES: Our aim was to derive, based on the SWEDEHEART registry, and validate, using the Western Denmark Heart registry, a patient-oriented risk score, the SweDen score, which could calculate the risk of 1-year mortality following a myocardial infarction (MI).METHODS: The factors included in the SweDen score were age, sex, smoking, diabetes, heart failure and statin use. These were chosen a priori by the SWEDEHEART steering group based on the premise that the factors were information known by the patients themselves. The score was evaluated using various statistical methods such as time-dependent receiver operating characteristics curves of the linear predictor, area under the curve metrics, Kaplan-Meier survivor curves and the calibration slope.RESULTS: The area under the curve values were 0.81 in the derivation data and 0.76 in the validation data. The Kaplan-Meier curves showed similar patient profiles across datasets. The calibration slope was 1.03 (95% CI 0.99 to 1.08) in the validation data using the linear predictor from the derivation data.CONCLUSIONS: The SweDen risk score is a novel tool created for patient use. The risk score calculator will be available online and presents mortality risk on a colour scale to simplify interpretation and to avoid exact life span expectancies. It provides a validated patient-oriented risk score predicting the risk of death within 1 year after suffering an MI, which visualises the benefit of statin use and smoking cessation in a simple way.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Humans
- Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use
- Sweden/epidemiology
- Risk Factors
- Myocardial Infarction/diagnosis
- Heart Failure
- acute coronary syndrome
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