Volume 79, Issue 2 (May 2021)
Tehran Univ Med J 2021, 79(2): 150-155 |
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Mehryar H, Garkaz O, Atabaki P, Gharibi S, Khalili N, Paryab S. Comparison between GRACE and TIMI scores in predicting significant cardiovascular events in patients with chest pain: brief report. Tehran Univ Med J 2021; 79 (2) :150-155
URL: http://tumj.tums.ac.ir/article-1-11207-en.html
URL: http://tumj.tums.ac.ir/article-1-11207-en.html
Hamidreza Mehryar1 
, Omid Garkaz2 , Peyman Atabaki1 , Shadi Gharibi3 , Nasser Khalili4 , Sahar Paryab * 5
, Omid Garkaz2 , Peyman Atabaki1 , Shadi Gharibi3 , Nasser Khalili4 , Sahar Paryab * 5
1- Department of Emergency Medicine, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
2- Department of Epidemiology, Faculty of Health, Shahroud University of Medical Sciences, Shahroud, Iran.
3- General Practitioner, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
4- Department of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
5- Department of Nursing, Aliabad Katoul Azad University, Aliabad Katoul, Iran. , saharparyab139@gmail.com
2- Department of Epidemiology, Faculty of Health, Shahroud University of Medical Sciences, Shahroud, Iran.
3- General Practitioner, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
4- Department of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
5- Department of Nursing, Aliabad Katoul Azad University, Aliabad Katoul, Iran. , saharparyab139@gmail.com
Abstract: (1028 Views)
Background: Chest pain is the most common reason for patients to be referred to the emergency department of hospitals. This study was performed to compare the GRACE and TIMI scores in predicting important cardiovascular events in patients.
Methods: This descriptive-analytical study was performed on 862 cardiac patients who were referred to the emergency department of Taleghani Hospital in Urmia in the period of April 1, 2016 to the end of September 2016 by census method. A checklist containing demographic information, medical history and risk factors was used to collect data. After scoring patients, we examined and followed up both groups over the next 30 days and recorded any cardiovascular events such as sudden death, AMI or immediate revascularization. The data were tested using SPSS16 and descriptive statistics tests. T-test and ROC curve were analyzed.
Methods: This descriptive-analytical study was performed on 862 cardiac patients who were referred to the emergency department of Taleghani Hospital in Urmia in the period of April 1, 2016 to the end of September 2016 by census method. A checklist containing demographic information, medical history and risk factors was used to collect data. After scoring patients, we examined and followed up both groups over the next 30 days and recorded any cardiovascular events such as sudden death, AMI or immediate revascularization. The data were tested using SPSS16 and descriptive statistics tests. T-test and ROC curve were analyzed.
| Results: The results showed that in general, out of 862 patients who were studied (50.3%), 433 were female and (49.7%) 429 were male. Most of the patients were under 65 years old 627 (72.7%) and the age range was (17-91). The highest initial diagnosis of nonSTEMI patients was UA with 811 (94.9%) cases. On the other hand, the highest risk factors of patients were HTN 449(52%), CAD 314 (36.425) and DM 22 (25.55). The highest blood pressure was between (100-120) with 328 cases and serum creatinine between (0.6 to 1.3) with 770 cases. MACE after 30 days in GRACE system 17 people (32.69%) were in high risk group and in TIMI 3 people (37.5%) were in high risk group. In MACE evaluation, the specificity of GRACE system (cutoff point=30) was 89.27 vs. 52.24, the specificity of TIMI system (cutoff point=7.3) and the sensitivity of GRACE 93 (cutoff point=10) versus TIMI 85.71 (cutoff point=8.3) is. Conclusion: The results showed that GRACE was more sensitive and characteristic than TIMI. |
Type of Study: Brief Report |
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