Palmerini et al reported the ACUITY-PCI score for evaluating a patient undergoing a percutaneous coronary intervention (PCI). The authors are from Policlinico S. Orsola Bologna, Mount Sinai Medical Center, and Yale University.
Patient selection: percutaneous coronary intervention (PCI)
Outcome: 1-year mortality or acute myocardial infarction
Parameters:
(1) extent of coronary disease in mm
(2) small vessel/diffuse coronary artery disease
(3) bifurcation lesion
(4) baseline cardiac biomarker elevation or ST segment deviation
(5) insulin-treated diabetes
(6) renal insufficiency
Parameter
Finding
Points
extent of coronary disease
(total length in mm)
(total length)/10
small vessel/diffuse CAD
no
0
yes
2
bifurcation lesion
no
0
yes
4
biomarker or ST segment deviation
no
0
yes
8
insulin-treated diabetes
no
0
yes
12
renal insufficiency
no
0
yes
12
total score =
= SUM(point for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: depends on extent of disease, probably around 70
• The higher the score the higher the risk of death or re-infarction.
Score
1-Year Death or AMI
<=12
5%
12.1 to 19
9%
> 19
19%
Performance:
• The area under the ROC curve was 0.67-0.70.
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