Predictive value of ACEF score for in-hospital mortality in patients with acute myocardial infarction
Wei Xiaohong
Liu Wenxian
Chen Liying
Cao Jianing
Abstract：Objective To evaluate the predictive value of ACEF score for in-hospital mortality in patients with acute myocardial infarction.Methods Clinical data of 1 061 patients with acute myocardial infarction who had emergency coronary intervention in Beijing Anzhen Hospital,Capital Medical University from January 2009 to December 2015 were retrospectively analyzed.The value of ACEF score in prediction of in-hospital mortality was analyzed by receiver operating characteristic(ROC) curve.Clinical features of patients with different ACEF score were analyzed.Results Area of ROC curve of ACEF score in prediction of in-hospital mortality was 0.714;the critical value was 1.23.The patients were divided into group A(ACEF score ≤ 1.23) and group B(ACEF score ＞ 1.23).Proportion of Killip cardiac function grade Ⅲ-Ⅳ in group B was higher than that in group A;systolic pressure,diastolic pressure,hemoglobin,fasting blood glucose and left ventricular ejection fraction in group B were lower than those in group A (P ＜ 0.05).Proportions of anterior wall myocardial infarction,double vessel lesions,multi-vessel lesions and Gensini score in group B were higher than those in group A;proportion of thrombolysis in myocardial infarction grade 3 after coronary intervention in group B was lower than that in group A (P ＜ 0.05).Incidences of cardiac shock,acute left heart failure,arrhythmia,heart rupture and the use rate of intra-aortic balloon counterpulsation in group B were higher than those in group A [18.9％ (69/365) vs 5.3％ (37/696),17.3％ (63/365) vs 5.3％ (37/696),34.2％ (122/365) vs 17.1％ (117/696),2.0％ (7/365) vs 0.2％ (1/696),41.9％ (153/365) vs 20.0％ (139/696)] (P ＜ 0.05).In-hospital mortality rate in group B was higher than that in group A [10.4％ (38/365) vs 2.8％ (18/696)] (P ＜ 0.05).Conclusion ACEF score has a good predictive value for the severity and in-hospital mortality of patients with acute myocardial infarction.
Keywords：Acute myocardial infarctionIn-hospital mortalityACEF score
Publication Date：2018-01-01
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1601-1604 )