Sanchis et al reported a Simple Comorbidity Index (SCI) for evaluating patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). The authors are from University of Valencia, University of Barcelona, University Hospital Dr Josep Trueta (Girona) and Universitat Autonoma de Barcelona in Spain.
Patient seletion: NSTEACS
Parameters:
(1) renal function (GFR)
(2) dementia
(3) history of heart failure
(4) history of myocardial infarction
(5) peripheral artery disease
Parameter
Finding
Points
GFR
> 50 mL per min per 1.73 sq m
0
20 to 50
1
< 20 mL per min per 1.73 sq m
2
dementia
absent
0
present
2
history of heart failure
no
0
yes
2
history of myocardial infarction
no
0
yes
1
peripheral artery disease
no
0
yes
2
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
• The higher the score the worse the prognosis.
SCI
1-Year Mortality
0
3.2%
1 or 2
10%
3 or more
37%
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