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Thromb Haemost 2024; 124(02): 166-176
DOI: 10.1055/s-0043-1773764
Atherosclerosis and Ischaemic Disease

The Prognostic Value of the Age–D-Dimer–Albumin Score in Patients with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention

Hao-ming He
1   Department of Cardiology, China–Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Yi-nong Chen
2   Department of Cardiology, Peking University China–Japan Friendship School of Clinical Medicine, Beijing, China
,
Ji-lang Zeng
3   Department of Cardiology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, China
,
Shu-wen Zheng
4   Department of Cardiology, Beijing University of Chinese Medicine, School of Traditional Chinese Medicine, Beijing, China
,
Long-yang Zhu
2   Department of Cardiology, Peking University China–Japan Friendship School of Clinical Medicine, Beijing, China
,
Zhe Wang
1   Department of Cardiology, China–Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Si-qi Jiao
2   Department of Cardiology, Peking University China–Japan Friendship School of Clinical Medicine, Beijing, China
,
Fu-rong Yang
4   Department of Cardiology, Beijing University of Chinese Medicine, School of Traditional Chinese Medicine, Beijing, China
,
Yi-hong Sun 
1   Department of Cardiology, China–Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
2   Department of Cardiology, Peking University China–Japan Friendship School of Clinical Medicine, Beijing, China
› Author Affiliations Funding This study was supported by the Capital Health Research and Development of Special Fund (2020-2-4065) and the National High-Level Hospital Clinical Research Fund (2022-NHLHCRF-PY-19).
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Abstract

Background The Age–D-dimer–Albumin (ADA), the CREDO-Kyoto, and the PARIS scores have been established to predict thrombotic events. However, the prognostic performance of these scores compared to the GRACE score in patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI) has not been reported.

Methods Consecutive AMI patients treated with PCI were retrospectively enrolled at a teaching hospital in China from January 2016 to December 2019. The primary endpoint was all-cause mortality and the secondary endpoint was cardiac death. Harrell's C-index and net reclassification improvement (NRI) were used to compare the prognostic value of these scores with the GRACE score for mortality.

Results Of the 1,578 patients enrolled, the mean age was 62.5 years, and 23.5% were female. During a median follow-up of 3.8 years, 146 all-cause deaths and 80 cardiac deaths occurred. The ADA score showed a better prognostic performance than the GRACE (Harrell's C-index: 0.800 vs. 0.749; p = 0.003), the CREDO-Kyoto (Harrell's C-index: 0.800 vs. 0.765; NRI = 0.348, p < 0.001), and the PARIS scores (Harrell's C-index: 0.800 vs. 0.694; NRI = 0.556, p < 0.001). In the multivariable Cox regression analysis, the ADA score was independently associated with all-cause mortality (hazard ratio [HR] = 1.641 per 10-point increment, 95% confidence interval [CI]: 1.397–1.929) and cardiac death (HR = 1.636 per 10-point increment, 95% CI: 1.325–2.020). The risk of all-cause mortality and cardiac death increased with the rising of the ADA score.

Conclusion The ADA score showed a better prognostic performance than the GRACE, the CREDO-Kyoto, and the PARIS scores in patients with AMI undergoing PCI, which was a potential predictive tool for mortality.

Keywords

acute myocardial infarction - percutaneous coronary intervention - GRACE - mortality

Supplementary Material



Publication History

Received: 12 July 2023

Accepted: 31 July 2023

Article published online:
29 August 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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