Another MI Risk Model

This new model seems quite good at individual prediction of in-hospital death, but questions remain about how and when to employ these tools.

Risk stratification plays a key role in treatment decisions and in the counseling of patients. In recent decades, clinical scientists have produced several prominent risk models for patients with myocardial infarction (MI). Arguing that these models need to be continually updated and produced on ever more representative populations, investigators associated with ACTION (Acute Coronary Treatment and Intervention Outcomes Network) Registry–GWTG (Get With the Guidelines), which developed a model for in-hospital mortality, have now produced a new one based on 243,440 patients with acute MI at 665 hospitals who were hospitalized in 2012–2013.

Patients transferred from the hospital were excluded. The overall in-hospital mortality was 4.6%. The fin…

Reviewing Author

Harlan M. Krumholz, MD, SM

Disclosures

Consultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime

EquityHugo Health; Refactor Health; Element Science

Grant/Research SupportPfizer; Agency for Healthcare Research and Quality; Janssen Research and Development, National Institute of Biomedical Imaging and Engineering; National Heart, Lung, and Blood Institute; Centers for Disease Control and Prevention; National Cancer Institute; American Heart Association

Harlan M. Krumholz, MD, SM

Disclosures

Consultant/Advisory BoardUnited Healthcare; Element Science; Eyedentifeye, F-Prime

EquityHugo Health; Refactor Health; Element Science

Another MI Risk Model

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Reviewing Author