Burjonroppa et al reported the NCDR RESCUE Score (Real-World Estimator of Survival in Catheterized STEMI Patients Following Unsuccessful Earlier Fibrinolysis) for predicting mortality in a patient undergoing a rescue percutaneous coronary intervention (PCI). This can help to distinguish low from high risk patients. The authors are from the Fort Woth Heart PA, Denver Veterans Affairs Medical Center, University of Colorado, Duke University, Mayo Clinic, University of California San Francisco, and the San Francisco Veterans Affairs Medical Center.
Patient selection: A patient requiring a rescue PCI following STEMI
Outcome: in-hospital mortality
Parameters:
(1) age
(2) estimated glomerular filtration rate (GFR) in mL per minute
(3) any CPR (salvage status)
(4) cardiogenic shock
(5) prior congestive heart failure (CHF)
(6) diabetes mellitus treated with insulin
|
Parameter |
Finding |
Points |
|
age |
< 30 years |
0 |
|
|
30 to 39 years |
3 |
|
|
40 to 49 years |
5 |
|
|
50 to 59 years |
9 |
|
|
60 to 69 years |
12 |
|
|
70 to 79 years |
15 |
|
|
80 to 89 years |
18 |
|
|
90 to 99 years |
21 |
|
estimated GFR |
>= 90 in mL per minute |
0 |
|
|
80 to 89 |
1 |
|
|
70 to 79 |
3 |
|
|
60 to 69 |
5 |
|
|
50 to 59 |
6 |
|
|
40 to 49 |
8 |
|
|
30 to 39 |
10 |
|
|
20 to 29 |
12 |
|
|
10 to 19 |
14 |
|
|
< 10 |
16 |
|
any CPR |
no |
0 |
|
|
yes |
8 |
|
cardiogenic shock |
no |
0 |
|
|
yes |
16 |
|
prior CHF |
no |
0 |
|
|
yes |
4 |
|
diabetes mellitus treated with insulin |
no |
0 |
|
|
yes |
5 |
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 70
• The higher the score the worse the survival.
|
Total Score |
In-Hospital Mortality |
|
0 to 9 |
0.4% |
|
10 to 19 |
1.6% |
|
20 to 29 |
7.6% |
|
30 to 39 |
27.5% |
|
40 to 49 |
64.2% |
|
>= 50 |
100% |
Specialty: Cardiology
ICD-10: ,
