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Improvement of ED prediction of cardiac mortality among patients with symptoms suggestive of acute myocardial infarction
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1997 (English)In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 15, no 1, 1-7 p.Article in journal (Refereed)
Abstract [en]

A study was undertaken to evaluate the 1-year risk of cardiac death for patients with chest pain/suspected acute myocardial infarction in the emergency department (ED) and express the prognosis in a statistical model. Clinical variables and electrocardiogram were correlated to cardiac death during 1 year. Cox regression model was used to estimate the risk of death as a continuous function of a risk score and the time interval. From these, the prognosis for each patient can be calculated. There were 6,794 visits by 5,303 patients followed for 1 year, during which 604 patients died. The absolute risk of cardiac death can be calculated from the independent predictors for cardiac death: age; sex; histories of diabetes mellitus, hypertension, and congestive heart failure; and symptoms, electrocardiographic pattern, and degree of suspicion of acute myocardial infarction on admission. This model allows estimation of the prognosis for every patient with chest pain/suspected acute myocardial infarction from data easily available in the ED.

Place, publisher, year, edition, pages
W.B. Saunders Co. , 1997. Vol. 15, no 1, 1-7 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hb:diva-7816Local ID: 2320/8708OAI: oai:DiVA.org:hb-7816DiVA: diva2:888698
Available from: 2015-12-22 Created: 2015-12-22

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