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The prognostic value of HALP score in predicting in-hospital mortality in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention.
Karakayali, Muammer; Omar, Timor; Artac, Inanç; Ilis, Dogan; Arslan, Ayca; Altunova, Mehmet; Cagin, Zihni; Karabag, Yavuz; Karakoyun, Suleyman; Rencuzogullari, Ibrahim.
Afiliação
  • Karakayali M; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Omar T; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Artac I; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Ilis D; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Arslan A; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Altunova M; Department of Cardiology, M.D. Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, Istanbul.
  • Cagin Z; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Karabag Y; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
  • Karakoyun S; Department of Cardiology, M.D. Kocaeli Health and Technology University, Kocaeli, Turkey.
  • Rencuzogullari I; Department of Cardiology, M.D.Kafkas University School of Medicine, Kars.
Coron Artery Dis ; 34(7): 483-488, 2023 11 01.
Article em En | MEDLINE | ID: mdl-37799045
INTRODUCTION AND OBJECTIVE: Despite major advances in reperfusion therapies, morbidity and mortality rates associated with cardiovascular disorders remain high, particularly in patients with ST-segment elevation myocardial infarction (STEMI). Therefore, identifying prognostic variables that can be used to predict morbidity and mortality in STEMI patients is critical for better disease management. The HALP (hemoglobin, albumin, lymphocyte, and platelet) score, a novel index indicating nutritional status and systemic inflammation, provides information about prognosis. In this context, this study was carried out to investigate the relationship between HALP score assessed at admission and in-hospital mortality in STEMI patients. MATERIAL AND METHODS: The population of this retrospective study consisted of 1307 consecutive patients diagnosed with STEMI and who underwent primary percutaneous coronary intervention (pPCI). The 1090 patients included in the study sample were divided into two groups based on the median HALP score value of 3.59. In-hospital and all-cause mortality rates during the follow-up were obtained from the registry. RESULTS: In-hospital mortality rate was significantly higher in patients with a HALP score of less than 3.59 compared to those with a HALP score of more than 3.59 (7.5% and 0.7%, respectively; P < 0.001). Univariate and multivariate Cox proportional hazard analyses revealed that the HALP score is independently associated with in-hospital mortality. The optimal HALP score cutoff value of <3.72 predicted in-hospital mortality with 95.56% sensitivity and 49.19% specificity. CONCLUSION: This study's findings indicate that HALP score may be a significant independent predictor of in-hospital mortality in patients with STEMI treated with pPCI.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Intervenção Coronária Percutânea / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Coron Artery Dis Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Intervenção Coronária Percutânea / Infarto do Miocárdio com Supradesnível do Segmento ST Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Coron Artery Dis Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2023 Tipo de documento: Article