Key result
The Logistic Clinical SYNTAX score substantially improved the prediction of 1-year all-cause death after PCI (AUC 0.753) compared with the anatomical SYNTAX score alone (AUC 0.660).
Why the study?
Does the Logistic Clinical SYNTAX score improve the prediction of 1-year mortality and MACE compared to the anatomical SYNTAX score alone in patients undergoing PCI?
Population
>6000 patients undergoing percutaneous coronary intervention from seven contemporary coronary stent trials
Comparison
Logistic Clinical SYNTAX score vs Anatomical SYNTAX score alone
Design
Cohort
Follow-up
1 year
Authors
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May aid post-PCI risk stratification; leaves open prospective validation before guiding decisions.
Observational (n=6,000)
Yes
Does the Logistic Clinical SYNTAX score improve the prediction of 1-year mortality and MACE compared to the anatomical SYNTAX score alone in patients undergoing PCI?
Absolute Event Rate: 0.753% vs 0.66%
The Logistic Clinical SYNTAX score, which incorporates age, creatinine clearance, and LVEF alongside the anatomical SYNTAX score, significantly improves the prediction of 1-year mortality after PCI.
Farooq et al. (2012) conducted an observational in percutaneous coronary intervention (PCI) (n=6,000). Logistic Clinical SYNTAX score vs. SYNTAX score alone was evaluated on 1-year risk for all-cause death. The Logistic Clinical SYNTAX score substantially improved the prediction of 1-year all-cause death after PCI (AUC 0.753) compared with the anatomical SYNTAX score alone (AUC 0.660).
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