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特里瓦尔夫评分:在接受过导管三门干预的患者中预测死亡率/住院住院的风险评分

Giulio Russo¹, Daniela Pedicino², Denise Pires Marafon³

¹Department of Biomedicine and Prevention, Cardiology Unit, Policlinico Tor Vergata, University of Rome, Rome, Italy.

JACC. Cardiovascular interventions

|September 25, 2024

概括

一个新的风险评分有助于选择治疗严重三管吐 (TR) 患者的疗法,这些患者接受过导管三管干预 (TTVI). 这个简单的工具有助于心脏团队改善TR管理中的患者结果.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
健康结果研究研究结果

背景情况:

跨导管三管干预 (TTVI) 越来越多地用于三管吐 (TR).
对于接受TTVI的患者,没有确立的风险分层.

研究的目的:

为接受TTVI的重症TR患者制定专门的风险评分.
帮助心脏团队为这些患者选择最佳疗法.

主要方法:

这一分数是从TRIVALVE注册表 (NCT03416166) 中得出的.
一个逐步的后勤回归模型预测了12个月的死亡率或再住院.
内部验证包括ROC曲线分析和引导.

主要成果:

该研究包括483名患者,19%的患者经历了12个月的死亡率或再住院.
最终的风险评分包括心房动,低GFR,肝酶升高,右心衰竭和LVEF降低.
该得分显示了中等程度的歧视 (AUC 68%).

结论:

为TTVI候选人提出了一个新的,简单的风险评分.
这种工具可以帮助心脏团队为严重的TR选择个性化治疗.

关键词:

风险预测风险预测通过导管干预三管门的干预.三管的反,三管的反.三管风险评分三管风险评分三管门的三管门

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