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. 2022 Sep 13:15:7241-7248.
doi: 10.2147/IJGM.S379628. eCollection 2022.

The Predictive Value of Barthel Score, Sequential Organ Failure Assessment Score, and D-Dimer in the 28-Day Prognosis of Patients with Non-ST Elevation Myocardial Infarction: A Retrospective Study of 358 Patients

GuiYing Dai #  1 , JunYu Wang  1 , FengLi Gao  2 , WenHong Liu  1 , Ping Li  1 , Bing Wei  1 , Jun Yang #  1
Affiliations

The Predictive Value of Barthel Score, Sequential Organ Failure Assessment Score, and D-Dimer in the 28-Day Prognosis of Patients with Non-ST Elevation Myocardial Infarction: A Retrospective Study of 358 Patients

GuiYing Dai et al. Int J Gen Med. .

Abstract

Purpose: To investigate the nursing prediction value of Barthel score, sequential organ failure assessment (SOFA) score and D-dimer on non-ST-elevation myocardial infarction (NSTEMI) inpatients.

Methods: The clinical data of 358 NSTEMI patients admitted to the emergency department were analyzed using logistic regression equation and a ROC curve was drawn. The area under ROC curve (AUC) of different indicators was compared. A COX regression model was created, and a survival curve was drawn.

Results: There were significant differences in age, D-dimer, WBC, NT-proBNP, EF (%), BI score, MEWS score, and SOFA score between the 28-day death group and the survival group (P < 0.05). The results showed that D-dimer (P = 0.002), SOFA score (P = 0.017), BI score (P < 0.001), and chest pain symptoms (P < 0.001) were independent predictors of 28-day death. When chest pain symptoms (AUC = 0.585), D-dimer (AUC = 0.945, Z = 8.00, P < 0.01), BI score (AUC = 0.145, Z = 5.36, P < 0.01), and SOFA score (AUC = 0.847, Z = 4.93, P < 0.01) were compared, the results showed that BI score (HR = 0.961, P < 0.01) and SOFA score (HR = 1.316, P < 0.001) had statistical significance on the 28-day survival time of the dead patients.

Conclusion: The Barthel score, SOFA score, and D-dimer are all essential in predicting the severity of NSTEMI patients, with a high nursing evaluation value. The Barthel and SOFA scores are associated with the risk of death within 28 days.

Keywords: Barthel score; D-dimer; NSTEMI; SOFA score; predictive value of nursing.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
ROC curve of 28-day prognosis (death) in patients with NSTEMI.
Figure 2
Figure 2
Survival curves of patients who died within 28 days.
See this image and copyright information in PMC

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References

    1. Cohen M, Visveswaran G. Defining and managing patients with non-ST-elevation myocardial infarction: sorting through type 1 vs other types. Clin Cardiol. 2020;43(3):242–250. doi:10.1002/clc.23308 - DOI - PMC - PubMed
    1. Harrington DH, Stueben F, Lenahan CM. ST-elevation myocardial infarction and non-ST-elevation myocardial infarction: medical and surgical interventions. Crit Care Nurs Clin North Am. 2019;31(1):49–64. doi:10.1016/j.cnc.2018.10.002 - DOI - PubMed
    1. Karwowski J, Gierlotka M, Gasior M, et al. Relationship between infarct artery location, acute total coronary occlusion, and mortality in STEMI and NSTEMI patients. Pol Arch Intern Med. 2017;127(6):401–411. doi:10.20452/pamw.4018 - DOI - PubMed
    1. Pollack CV, Amin A, Wang T, et al. Contemporary NSTEMI management: the role of the hospitalist. Hosp Pract. 2020;48(1):1–11. doi:10.1080/21548331.2020.1701329 - DOI - PubMed
    1. Chinese Medical Association Cardiovascular Diseases Branch, Chinese Journal of Cardiovascular Diseases Editorial Committee. Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes (2016). Chin J Cerebrovasc Dis. 2017;45(5):359–376.