dc.contributor.author | Celik, Olgun | |
dc.contributor.author | Ciftci, Orcun | |
dc.contributor.author | Mudderisoglu, Ibrahim Haldun | |
dc.date.accessioned | 2021-08-17T07:19:48Z | |
dc.date.available | 2021-08-17T07:19:48Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 1024-9079 | en_US |
dc.identifier.uri | https://journals.sagepub.com/doi/10.1177/1024907920904191 | |
dc.identifier.uri | http://hdl.handle.net/11727/6260 | |
dc.description.abstract | Objective:
We aimed to evaluate Model for End-stage Liver Disease excluding international normalized ratio (MELD-XI) score for prediction of 30-day in-hospital mortality in a cohort of patients with ST elevation myocardial infarction.
Methods:
The medical records of a total of 256 patients admitted with ST elevation myocardial infarction to the emergency department between January 2015 and January 2019 were retrospectively reviewed. A total of 111 patients were found eligible for the study. MELD-XI score was analyzed and compared on the basis of survival status.
Results:
A total of 111 patients with a mean age of 62.5 +/- 2.55 years were included in the study. In total, 81% (n = 90) of the patients were male and 19% (n = 21) were female. The mean MELD-XI score of the patients was 10.1 +/- 1.1. A total of 12 patients (12.9%) died within 30 days after hospitalization. The median MELD-XI score of the patients who died in the hospital was significantly higher than the patients survived (11.0 (10.5-11.6) vs 9.5 (9.4-13.8); p < 0.01). However, Gensini score was not significantly different between the surviving and deceased patients (p > 0.05). MELD-XI score was significantly correlated to left ventricular ejection fraction (r = -232, p < 0.01), and both parameters and age were significant independent predictors of in-hospital mortality (odds ratio: 1.73, 95% confidence interval: 1.25-2.39, p < 0.05; odds ratio: 0.89, 95% confidence interval: 0.81-0.99, p < 0.05; and odds ratio: 1.07, 95% confidence interval: 0.99-1.15, p < 0.05, respectively). A MELD-XI cut-off point of 10 had a sensitivity of 100% and a specificity of 78.8% for in-hospital mortality (area under receiver operating characteristics curve: 0.92, 95% confidence interval: 0.87-0.97, p < 0.05). A survival analysis based on a MELD-XI threshold of 10 revealed that the patients in the high-MELD-XI group had a significantly worse in-hospital survival (log rank test p < 0.001).
Conclusion:
MELD-XI score is a useful tool for in-hospital mortality prediction in patients referring to emergency medicine with acute ST elevation myocardial infarction. | en_US |
dc.language.iso | eng | en_US |
dc.relation.isversionof | 10.1177/1024907920904191 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | MELD-XI score | en_US |
dc.subject | acute ST elevation myocardial infarction | en_US |
dc.subject | mortality | en_US |
dc.title | Prognostic value of MELD-XI score in patients referring to the emergency department with acute ST elevation myocardial infarction | en_US |
dc.type | article | en_US |
dc.relation.journal | HONG KONG JOURNAL OF EMERGENCY MEDICINE | en_US |
dc.identifier.wos | 000511084100001 | en_US |
dc.identifier.scopus | 2-s2.0-85078960098 | en_US |
dc.contributor.orcID | 0000-0001-8926-9142 | en_US |
dc.contributor.orcID | 0000-0002-7190-5443 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |
dc.contributor.researcherID | W-5233-2018 | en_US |
dc.contributor.researcherID | AAD-5477-2021 | en_US |