GRACE评分对急诊胸痛患者30d和6个月主要不良心血管事件的预测价值

doi:10.3969/j.issn.1002-1949.2017.12.012

Chinese Journal of Critical Care Medicine

2017, Vol. 37

Issue (12): 1123-1128 DOI: 10.3969/j.issn.1002-1949.2017.12.012

The predictive value of GRACE score for 30-day and 6-month major adverse cardiovascular events in Emergency Departments patients with acute chest pain

Li Min, Jiang Hui-lin, Li Yun-mei, Mo Jun-rong, Mao Hai-feng, Tian Chao-wei, Lin Pei-yi, Chen Xiao-hui

Department of Emergency, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China

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Abstract Objective: To explore the predictive value of GRACE scores to the risk of 30-day and 6-month major adverse cardiovascular events (MACE) in chest pain patients presented to Emergency Department (ED). Methods: A perspective cohort study was conducted in ED from March 17, 2012 to August 14, 2013. Chest pain patients presented to ED with age over 18 years old were enrolled. Clinical data and items of GRACE risk scores were recorded. The 30-day and 6-month MACE of patients was followed up through Health Insurance Information Management System and phone. Results: A total of 493 acute chest pain patients were enrolled. Thirty two patients (6%) and 38 cases (7%)happened MACE within 30 days and 6 month. The Logistic regression analysis of this research showed that GRACE score, Gender and smoke were predictors of 30-day and 6-month MACE in patients with acute chest pain. The areas under the curve (AUC) for 30-day MACE of GRACE score was 0.815 (95% CI 0.778～0.849) in cutoff with 174 points. The AUC of 6-month GRACE score was 0.807 (95% CI 0.769～0.841) in cutoff with 173 points. Conclusion: GRACE scoring system can predict the 30-day and 6-month MACE in chest pain patients presented to ED.

Received: 15 September 2017

Corresponding Authors: Chen Xiao-hui, E-mail: cxhgz168@126.com

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	Li Min
	Jiang Hui-lin
	Li Yun-mei
	Mo Jun-rong
	Mao Hai-feng
	Tian Chao-wei
	Lin Pei-yi
	Chen Xiao-hui

Cite this article:

Li Min,Jiang Hui-lin,Li Yun-mei, et al. The predictive value of GRACE score for 30-day and 6-month major adverse cardiovascular events in Emergency Departments patients with acute chest pain[J]. Chinese Journal of Critical Care Medicine, 2017, 37(12): 1123-1128.

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http://www.cnemergency.org.cn/EN/10.3969/j.issn.1002-1949.2017.12.012 OR http://www.cnemergency.org.cn/EN/Y2017/V37/I12/1123

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