Predictive Value of Age and ACEF-rSS Score for Major Adverse Cardiovascular and Cerebrovascular Events in Patients with Coronary Artery Disease After Coronary Artery Bypass Grafting
Predictive Value of Age and ACEF-rSS Score for Major Adverse Cardiovascular and Cerebrovascular Events in Patients with Coronary Artery Disease After Coronary Artery Bypass Grafting
Objectives To clarify the predictive value of age,age-creatinine-ejection fraction,and residual SYNTAX score(ACEF-rSS)for the occurrence of major adverse cardiovascular and cerebrovascular events(MACCE)in patients with coronary artery disease(CAD)after coronary artery bypass grafting(CABG).Methods The clinical data of 572 CAD patients who underwent CABG in Jinan People's Hospital between January 2008 and May 2018 were retrospectively analyzed.The patients were divided into MACCE group and control group according to whether MACCE occurred during the follow-up period.The clinical data such as age,gender,and ACEF-rSS score of the patients between the two groups were compared,and a multifactorial Cox regression model was used to assess the differences in age and ACEF-rSS score resulted in the risk ratio of MACCE occurrence after CABG in CAD patients.The survival differences of patients between different ages and ACEF-rSS scores were evaluated.Results ACEF-rSS score(≥1.061 points)(HR=1.721,95%CI:1.127-2.629,P=0.012)and age(≥61 years)(HR=1.657,95%CI:1.043-1.631,P=0.032)were independent risk factors for the development of MACCE after CABG in CAD patients.The survival rate was significantly lower in patients aged≥61 years than in patients aged<61 years(P<0.001).The survival rate was significantly lower in patients with ACEF-rSS score≥1.061 than in patients with ACEF-rSS score<1.061(P<0.001).Conclusions ACEF-rSS score(≥1.061 scores)and age(≥61 years)are risk factors for the development of MACCE after CABG in CAD patients.
维普
万方数据