在接受PCI的患者中,PRECISE-DAPT得分的外部有效性:系统性审查和元分析
Andrea Raffaele Munafò1,2, Claudio Montalto2, Marco Franzino3
1Department of Molecular Medicine, University of Pavia, 27100 Pavia, Italy.
European heart journal. Cardiovascular pharmacotherapy
|August 27, 2023
概括
PRECISE-DAPT得分有效地预测了在支架植入和双抗血小板治疗 (DAPT) 后患者的出血风险. 这次审查证实了其有效性,但表明需要改进出血预测工具.
科学领域:
- 心脏病学 心脏病学
- 临床风险预测预测
- 证据综合 证据综合
背景情况:
- 通过皮肤冠状动脉干预 (PCI) 后,双重抗血小板治疗 (DAPT) 是至关重要的,但会增加出血风险.
- 在接受支架植入和随后双重抗血小板治疗的患者中预测出血并发症 (PRECISE-DAPT) 评分是为了识别高风险患者而开发的.
- 对PRECISE-DAPT得分的外部验证对于其临床实用性至关重要.
结论:
- 这一元分析验证了PRECISE-DAPT得分在预测PCI后DAPT治疗患者出血并发症方面的实用性.
- 这些发现支持在临床实践中使用PRECISE-DAPT得分来进行风险分层.
- 适度的预测能力强调了在这种患者群体中开发更准确的风险预测工具的持续需求.
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