The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

A Comparison of Risk Prediction Models for Patients with Acute Coronary Syndromes

DOI: 10.4244/EIJ-D-21-00536

1. Department of Cardiology, National University of Ireland, Galway (NUIG), Galway, Ireland
2. Health Research Board Clinical Research Facility, Department of Medicine, NUIG, Galway, Ireland
3. Department of Cardiology, National University of Ireland Galway (NUIG), Galway, Ireland, Ireland
Disclaimer:

As a public service to our readership, this article - peer reviewed by the Editors of EuroIntervention and external reviewers - has been published immediately upon acceptance as it was received in the last round of revision. The content of this article is the responsibility of the authors.

Please note that supplementary movies are not available online at this stage. Once a paper is published in its edited and formatted form, it will be accompanied online by any supplementary movies.

To read the full content of this article, please log in to download the PDF.

In the current guidelines for acute coronary syndrome (ACS), the GRACE risk score is recommended for risk stratification. The GRACE risk score 2.0 provides the risk of death and myocardial infarction (MI) after ACS, but it does not provide a bleeding risk prediction. The PRECISE-DAPT and PARIS scores were developed from patient populations treated with percutaneous coronary intervention (PCI) regardless of their clinical presentations, and predict out-of-hospital bleeding risk. The PARIS score also provides a thrombotic risk prediction. As a tool for mortality prediction, the logistic clinical SYNTAX score was redeveloped from the GLOBAL LEADERS trial.1, 2 Recently, the PRAISE score, -based on machine-learning algorithm-, was developed for the combined prediction of death, MI, and major bleeding 1-year after discharge in ACS patients.3 These risk prediction models have been introduced into the clinical practice, but their performances have not been compared (Supplementary Table 1).

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article
Prediction of radial crossover in acute coronary syndromes: derivation and validation of the MATRIX score