Predictive value of SYNTAX score II for clinical outcomes in octogenarian undergoing percutaneous coronary intervention

为了评估句法的预兆的价值，为经皮的冠的干预(一种总线标准) 获得 II (SS-II ) 在八十至八十九岁(80 岁) 从 Ruijin 医院从八十至八十九岁的经历的一种总线标准的三连续的年经历 PCI.Methods 与 ResultsData (上海，中国) 回顾地被收集(n = 308 ) 。包括所有原因死亡，心脏的死亡和主要不利心血管、脑血管的事件(MACCE ) 在一年在临床的数据上面列在后面被收集。病人们为一种总线标准根据 SS-II 的 tertiles 被成层：SS-II 26 (n = 104 ) ， SS-II：27-31 (n = 102 ) ， SS-II > 31 (n = 102 ) 。在为使因素惊讶的调整以后，为一种总线标准的 SS-II 是独立风险为所有原因死亡的因素(机会比率：2.77， 95% CI：1.13-8.06；P = 0.04 ) 。Kaplan-Meier 曲线为一种总线标准在 SS-II 的更高的 tertile 为所有原因死亡和心脏的死亡显示出更高的事件率(木头等级测试 P = 0.002 并且 P = 0.001，分别地) 。为一种总线标准的 SS-II 在经历 PCI.ConclusionsIn 的八十至八十九岁的人口预言了一年死亡八十至八十九岁，与 angiographic 解剖变量合并了临床的变量的 SS-II 在风险成层并且在一年预言临床的结果是合适的。

Objective To evaluate the predictive value of SYNTAX Score II （SS-II） for percutaneous coronary intervention （PCI） in octogenarian （≥ 80 years old） undergoing PCI. Methods ＆ Results Data from three consecutive years of octogenarian undergoing PCI from Ruijin Hospital （Shanghai, China） was retrospectively collected （n = 308）. Follow up clinical data at one year including all cause mortality, cardiac mortality and main adverse cardiovascular and cerebrovascular events （MACCE） were collected. Patients were stratified according to tertiles of SS-II for PCI： SS-II 〈 26 （n = 104）, SS-II： 27-31 （n = 102）, SS-II 〉 31 （n = 102）. After adjustment for confounding factors, SS-II for PCI was an independent risk factors for all cause mortality （odds ratio： 2.77, 95% CI： 1.13-8.06; P = 0.04）. Kaplan-Meier curves showed higher event rates for all cause mortality and cardiac mortality in higher tertile of SS-II for PCI （Log-Rank test P = 0.002 and P = 0.001, respectively）. SSdl for PCI predicted one year mortality in octogenarian population undergoing PCI. Conclusions In octogenarian, SS-II which incorporated clinical variables with angiographic anatomy variable was suitable in risk stratifying and predicting clinical outcomes at one year.