Article ; Online: Impact of Naples Prognostic Score at Admission on In-Hospital and Follow-Up Outcomes Among Patients with ST-Segment Elevation Myocardial Infarction.
2023 Volume 74, Issue 10, Page(s) 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, |
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| MeSH term(s) | 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 | |||||
| Language | English | |||||
| Publishing date | 2023-01-09 | |||||
| Publishing country | United States | |||||
| Document type | 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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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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