مقایسه بین نمره‌دهی grace و timi در پیش‌بینی حوادث مهم قلبی عروقی در بیماران مراجعه‌کننده با درد قفسه سینه به بخش اورژانس بیمارستان طالقانی ارومیه: گزارش کوتاه

زﻣﯿﻨﻪ و ﻫﺪف: درد ﺳﯿﻨﻪ ﺷﺎﯾﻌﺘﺮﯾﻦ ﻋﻠﺖ ﻣﺮاﺟﻌﻪ ﺑﯿﻤﺎران ﺑﻪ اورژاﻧﺲ ﺑﯿﻤﺎرﺳﺘﺎنﻫﺎﺳﺖ ﮐﻪ اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﻣﻘﺎﯾﺴﻪ ﺑﯿﻦ ﻧﻤﺮهدﻫﯽ grace و timi در ﭘﯿﺶﺑﯿﻨﯽ ﺣﻮادث ﻣﻬﻢ ﻗﻠﺒﯽ ﻋﺮوﻗﯽ در ﺑﯿﻤﺎران ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﺎ درد ﻗﻔﺴﻪ ﺳﯿﻨﻪ ﺑﻪ ﺑﺨﺶ اورژاﻧﺲ ﺑﯿﻤﺎرﺳﺘﺎن ﻃﺎﻟﻘﺎﻧﯽ اروﻣﯿﻪ اﻧﺠﺎم ﺷﺪ. روش ﺑﺮرﺳﯽ: اﯾﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺼﻮرت ﺗﻮﺻﯿﻔﯽ- ﺗﺤﻠﯿﻠﯽ ﺑﺮ روی 862 ﺑﯿﻤﺎر ﻗﻠﺒﯽ ﻣﺮاﺟﻌﻪﮐﻨﻨﺪه ﺑﻪ اورژاﻧﺲ ﺑﯿﻤﺎرﺳﺘﺎن ﻃﺎﻟﻘﺎﻧﯽ اروﻣﯿﻪ در ﺑﺎزه زﻣﺎﻧﯽ اول ﻓﺮوردﯾﻦ 1397 ﺗﺎ ﺷﻬﺮﯾﻮر 1397 ﺑﻪ روش ﺳﺮﺷﻤﺎری اﻧﺠﺎم ﺷﺪ ﮐﻪ ﺑﺮای ﮔﺮدآوری اﻃﻼﻋﺎت از ﭼﮏﻟﯿﺴﺖ اﺳﺘﻔﺎده ﺷﺪ، ﭘﺲ از ﺟﻤﻊﺑﻨﺪی اﻣﺘﯿﺎزات، ﺗﻌﯿﯿﻦ ﺳﻄﺢ ﺧﻄﺮ اﻧﺠﺎم و ﭘﺲ از آن 30 روز ﭘﯿﮕﯿﺮی اﻓﺮاد اﻧﺠﺎم ﮔﺮﻓﺖ. ﯾﺎﻓﺘﻪﻫﺎ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﻃﯽ ﺑﺮرﺳﯽ ﺑﺎ ﺳﯿﺴﺘﻢ grace و timi ﺑﻪﺗﺮﺗﯿﺐ 52 ﻧﻔﺮ و ﻫﺸﺖ ﻧﻔﺮ ﭘﺮﺧﻄﺮ ارزﯾﺎﺑﯽ ﺷﺪﻧﺪ. در ارزﯾﺎﺑﯽ mace ﻣﯿﺰان وﯾﮋﮔﯽ ﺳﯿﺴﺘﻢ 30=grace cutoff point 89/27 ﻣﻘﺎﺑﻞ 52/24 وﯾﮋﮔﯽ ﺳﯿﺴﺘﻢ timi 7/3=cutoff point( ﺑﻮد و ﺣﺴﺎﺳﯿﺖ cutoff point=10 93 grace( در ﻣﻘﺎﺑﻞ 85/71 8/3=timi cutoff point ﺑﻮد. ﻧﺘﯿﺠﻪﮔﯿﺮی: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﺣﺴﺎﺳﯿﺖ و وﯾﮋﮔﯽ grace ﻧﺴﺒﺖ ﺑﻪ timi ﺑﯿﺸﺘﺮ اﺳﺖ.

comparison between grace and timi scores in predicting significant cardiovascular events in patients with chest pain: brief report

background: chest pain is the most common reason for patients to be referred to the emergency department of hospitals. this study was performed to compare the grace and timi scores in predicting important cardiovascular events in patients.methods: this descriptive-analytical study was performed on 862 cardiac patients who were referred to the emergency department of taleghani hospital in urmia in the period of april 1, 2016 to the end of september 2016 by census method. a checklist containing demographic information, medical history and risk factors was used to collect data. after scoring patients, we examined and followed up both groups over the next 30 days and recorded any cardiovascular events such as sudden death, ami or immediate revascularization. the data were tested using spss16 and descriptive statistics tests. t-test and roc curve were analyzed.results: the results showed that in general, out of 862 patients who were studied 50.3% , 433 were female and 49.7% 429 were male. most of the patients were under 65 years old 627 72.7% and the age range was 17-91 . the highest initial diagnosis of nonstemi patients was ua with 811 94.9% cases. on the other hand, the highest risk factors of patients were htn 449(52% , cad 314 36.425 and dm 22 25.55 . the highest blood pressure was between 100-120 with 328 cases and serum creatinine between 0.6 to 1.3 with 770 cases. mace after 30 days in grace system 17 people 32.69% were in high risk group and in timi 3 people 37.5% were in high risk group. in mace evaluation, the specificity of grace system cutoff point=30 was 89.27 vs. 52.24, the specificity of timi system cutoff point=7.3 and the sensitivity of grace 93 cutoff point=10 versus timi 85.71 cutoff point=8.3 is.conclusion: the results showed that grace was more sensitive and characteristic than timi.