Comparison study of value of severity evaluation between CADILLAC and TIMI risk scores to patients with AMI
Xinke Meng · Zhongguo xiandai yixue/Zhongguo xiandai yixue zazhi · 2006
[Objective] To compare the value of severity evaluation of patients with acute myocardial infarction (AMI) between CADILLAC and TIMI risk score. [Methods] Data of 86 patients with AMI were gleaned, analyzed and scored with CADILLAC and TIMI risk scores respectively. Difference of mortality and morbidity of MACE among the different score segments were compared in CADILLAC and TIMI risk score respectively. Difference of Calibration and Discrimination of CADILLAC and TIMI risk scores for mortality and morbidity of MACE of patients were compared respectively too. [Results] There had significant difference in mortality and morbidity of MACE among the different score segments(0-2; 3-5; ≥6 score)and different time points (the 14 day; the 30 day) of CADILLAC and TIMI risk scores for AMI patients (P 0.05). Value of P for hosmer-lemeshow of CADILLAC risk score in mortality of AMI patients was superior to that of TIMI risk score. The mortality predicted with CADILLAC risk score was more closely to actual mortality than that of TIMI risk score. AUROCC of CADILLAC risk score in mortality of AMI patients was higher than that of TIMI risk score too. In the 14 day point of patients in hosptial, Value of P for hosmer-lemeshow and AUROCC for severity evaluation to AMI patients were proximity between CADILLAC and TIMI risk scores, but CADILLAC risk score was superior to that of TIMI risk score in the 30 day point. [Conclusion] CADILLAC risk score was superior to TIMI risk score in evaluating severity and predicting outcome of AMI patients.