Key result
Zwolle Risk Score triaging safely identifies low-risk STEMI patients post-PCI with ~0.4% in-hospital mortality.
Why the study?
The utility of the Zwolle Risk Score to triage patients with STEMI following PCI, particularly in patients treated with thrombolysis, was unknown.
Does a triage protocol using the Zwolle Risk Score safely stratify risk and reduce costs in patients with STEMI following primary PCI or PCI after thrombolysis?
Observational (n=452)
Does a triage protocol using the Zwolle Risk Score safely stratify risk and reduce costs in patients with STEMI following primary PCI or PCI after thrombolysis?
Absolute Event Rate: 0.4% vs 13%
p-value: p=<0.001
A Zwolle Risk Score-based triaging system is safe for identifying low-risk STEMI patients post-PCI who do not require cardiac intensive care, potentially reducing hospital costs.
No takes yet. Share an insight, caveat, or question.
Supports selective CICU admission for low-risk STEMI post-PCI; leaves open prospective validation of safety and cost savings.
Parr et al. (2022) conducted an observational in ST-elevation myocardial infarction (STEMI) (n=452). Zwolle Risk Score triage protocol vs. High-risk vs Low-risk stratification was evaluated on In-hospital mortality (p=<0.001). A Zwolle Risk Score-based triaging protocol safely identified low-risk STEMI patients post-PCI, with in-hospital mortality of 0.4% compared to 13% in high-risk patients (P<0.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: