昆明医科大学学报2016，Vol.37Issue(5)：51-55,5.
急性冠脉综合征患者中的风险与治疗矛盾
Risk-Treatment Paradox in Acute Coronary Syndrome
摘要
Abstract
Objective This study aimed to assess the adherence to guideline-recommended therapies according to risk stratification in the management of acute coronary syndrome(ACS). Methods We analyzed 1,001 consecutive patients admitted with ACS. Patients were stratified using the GRACE risk score into low- and high-predicted risk of mortality at 6 months. We evaluated the use of hospital angiography,revascularization,and guideline-recommended medications between high and low-risk patients. Results High-risk compared to low-risk patients were less likely to underwent coronary angiography and/or revascularization during the hospitalization. The use of hospital-initiated pharmacotherapies was also lower in high-risk patients(P<0.05). Advanced age, increased creatinine level and higher GRACE score were independent predictors for failure to administer evidence-based therapies. Conclusion Patients with ACS at high risk of mortality were paradoxically less likely to undergo revascularization or receive medications according to guidelines. Better adherence to evidence-based therapies in high-risk patients may improve clinical outcome and quality of health care.关键词
急性冠脉综合征/治疗/高危Key words
Acute coronary syndrome/Treatment pattern/High-risk分类
医药卫生引用本文复制引用
李锐洁,彭云珠,孙煌,潘家华,赵玲..急性冠脉综合征患者中的风险与治疗矛盾[J].昆明医科大学学报,2016,37(5):51-55,5.基金项目
国家自然科学基金资助项目 （）
