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Artikel ; Online: Impact of Naples Prognostic Score at Admission on In-Hospital and Follow-Up Outcomes Among Patients with ST-Segment Elevation Myocardial Infarction.

Erdogan, Aslan / Genc, Omer / Ozkan, Eyüp / Goksu, Muhammed M / Ibisoglu, Ersin / Bilen, Mehmet N / Guler, Ahmet / Karagoz, Ali

Angiology

2023  Band 74, Heft 10, Seite(n) 970–980

Abstract: The Naples prognostic score (NPS) consists of cholesterol level, albumin concentration, lymphocyte-to-monocyte and neutrophil-to-lymphocyte ratios and reflects systemic inflammation, malnutrition, and survival for various conditions. We investigated the ... ...

Abstract The Naples prognostic score (NPS) consists of cholesterol level, albumin concentration, lymphocyte-to-monocyte and neutrophil-to-lymphocyte ratios and reflects systemic inflammation, malnutrition, and survival for various conditions. We investigated the relationship of NPS at admission with in-hospital and follow-up outcomes among ST-segment elevation myocardial infarction (STEMI) patients. This retrospective study included 1887 consecutive patients diagnosed with STEMI and who underwent primary percutaneous coronary intervention between March 2020 and May 2022. The study population was divided by NPS into 2; low (0-1-2) and high (3-4). In-hospital adverse events and all-cause mortality rates during follow-up were extracted from the registry. The Median follow-up time was 15 months. The overall mortality rate was 14.6%. The proportions of in-hospital events that included acute respiratory failure, acute kidney injury, malignant arrhythmia, and mortality were significantly higher in the high NPS group than in the low NPS group. Compared with the baseline model, in the full model of Cox regression analysis; NPS was an independent predictor of all-cause mortality (adjusted hazard ratio (aHR): 2.49, 95%CI, 1.75-3.50,
Mesh-Begriff(e) Humans ; ST Elevation Myocardial Infarction/diagnosis ; ST Elevation Myocardial Infarction/therapy ; ST Elevation Myocardial Infarction/etiology ; Prognosis ; Follow-Up Studies ; Retrospective Studies ; Percutaneous Coronary Intervention/adverse effects ; Hospitals
Sprache Englisch
Erscheinungsdatum 2023-01-09
Erscheinungsland United States
Dokumenttyp Journal Article
ZDB-ID 80040-5
ISSN 1940-1574 ; 0003-3197
ISSN (online) 1940-1574
ISSN 0003-3197
DOI 10.1177/00033197231151559
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