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Subsample analysis of the Vascular Complications Risk Score at two public referral centers for interventional
Paola Severo Romero1,2, Angelita Paganin Costanzi3,4, Vânia Naomi Hirakata2
1Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Cardiologia e Ciências Cardiovasculares, Porto Alegre, RS, Brazil.
Insights
The Vascular Complications Risk Score effectively identifies patients at low risk for vascular complications in interventional cardiology settings. A score below 3 accurately predicted no complications in most patients, confirming its predictive value.
Area of Science:
- Cardiology
- Vascular Medicine
- Medical Risk Assessment
Background:
- Vascular complications are a significant concern in interventional cardiology procedures.
- Accurate risk stratification tools are essential for patient management and procedural safety.
Purpose of the Study:
- To evaluate the performance of the Vascular Complications Risk Score (VCRS) in predicting vascular complications.
- To assess the VCRS's utility in two public interventional cardiology centers.
Main Methods:
- A subsample analysis of a previously validated cohort was conducted.
- Data from two public hospitals were included, excluding a private facility.
- The VCRS cutoff of <3 for low risk and ≥3 for high risk was applied.
Main Results:
- Out of 629 patients, 11.8% experienced vascular complications (1.8% major, 10% minor).
- Patients with a VCRS <3 had a 94.5% rate of no complications.
- Patients with a VCRS ≥3 had a 17% rate of complications.
Conclusions:
- The VCRS accurately predicts a low risk of vascular complications in patients scoring <3.
- This validation confirms the score's utility in public interventional cardiology centers.
Objective:
Evaluate the performance of the Vascular Complications Risk Score in two public referral centers for interventional cardiology.
Method:
Subsample analysis of the Vascular Complications Risk Score, which was developed and validated in the catheterization laboratories of three cardiology referral centers (two public, one private) with a cutoff of <3 for no risk of developing vascular complications and ≥3 for risk. In this new analysis, we excluded data from the private facility, and only included participants from the original (validation) cohort of the two public hospitals.
Results:
Among the 629 patients studied, 11.8% had vascular complications; of these, 1.8% were major and 10% minor. Among the patients with a score <3, 310 (94.5%) presented no vascular complications; of those with a score ≥3, 50 (17%) developed complications. Of those who developed vascular complications, 18 scored <3; two of these had major complications.
Conclusion:
This subanalysis confirms the ability of the Vascular Complications Risk core to predict low risk of vascular complications in patients with a score < 3.
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