PMID- 30322265 OWN - NLM STAT- MEDLINE DCOM- 20190422 LR - 20190422 IS - 1940-1574 (Electronic) IS - 0003-3197 (Linking) VI - 70 IP - 5 DP - 2019 May TI - The Predictive Value of PRECISE-DAPT Score for In-Hospital Mortality in Patients With ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention. PG - 440-447 LID - 10.1177/0003319718807057 [doi] AB - The PREdicting bleeding Complications In patients undergoing Stent implantation and subsEquent Dual Anti-Platelet Therapy (PRECISE-DAPT) score predicts the bleeding risk in patients treated with dual antiplatelet treatment after primary percutaneous coronary intervention (pPCI). This study aimed to determine the predictive value of the admission PRECISE-DAPT score for in-hospital mortality in patients with ST elevation myocardial infarction (STEMI) treated with pPCI. Of the 1418 patients enrolled, the study population was divided into 2 groups: PRECISE-DAPT score >/=25 and PRECISE-DAPT score <25. The primary goal was to determine the incidence of in-hospital all-cause mortality. In-hospital mortality was significantly higher in patients whose PRECISE-DAPT score >/=25 compared with the patients whose PRECISE-DAPT score <25 (9.4 vs 0.9%; P < .001, respectively). Both univariate and multivariate Cox proportional hazard analyses showed that the PRECISE-DAPT score is independently associated with in-hospital mortality (hazards ratio [HR]: 1.043, 95% confidence interval [CI]: 1.003-1.084; P = .035; and HR: 1.026, 95% CI: 1.004-1.048; P = .021, respectively). A pairwise comparison of receiver operating characteristic curves showed that the predictive value of the PRECISE-DAPT score with regard to in-hospital mortality was noninferior compared with the Thrombolysis in Myocardial Infarction risk score. The PRECISE-DAPT score may be a significant independent predictor of in-hospital mortality in patients with STEMI treated with pPCI. FAU - Tanik, Veysel Ozan AU - Tanik VO AD - 1 Department of Cardiology, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey. FAU - Cinar, Tufan AU - Cinar T AUID- ORCID: 0000-0001-8188-5020 AD - 2 Department of Cardiology, Health Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey. FAU - Arugaslan, Emre AU - Arugaslan E AD - 3 Department of Cardiology, Sivas Numune Hospital, Sivas, Turkey. FAU - Karabag, Yavuz AU - Karabag Y AUID- ORCID: 0000-0002-8156-315X AD - 4 Department of Cardiology, Kafkas University, Kars, Turkey. FAU - Hayiroglu, Mert Ilker AU - Hayiroglu MI AUID- ORCID: 0000-0001-6515-7349 AD - 2 Department of Cardiology, Health Sciences University, Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey. FAU - Cagdas, Metin AU - Cagdas M AUID- ORCID: 0000-0001-6704-9886 AD - 4 Department of Cardiology, Kafkas University, Kars, Turkey. FAU - Rencuzogullari, Ibrahim AU - Rencuzogullari I AUID- ORCID: 0000-0002-0070-9197 AD - 4 Department of Cardiology, Kafkas University, Kars, Turkey. FAU - Uluganyan, Mahmut AU - Uluganyan M AUID- ORCID: 0000-0002-4578-4537 AD - 5 Department of Cardiology, Bezmialem Vakif University, Istanbul, Turkey. LA - eng PT - Journal Article PT - Observational Study DEP - 20181015 PL - United States TA - Angiology JT - Angiology JID - 0203706 RN - 0 (Platelet Aggregation Inhibitors) SB - IM MH - Aged MH - Aged, 80 and over MH - *Decision Support Techniques MH - Drug Therapy, Combination MH - Female MH - Hemorrhage/chemically induced/mortality MH - *Hospital Mortality MH - Humans MH - Male MH - Middle Aged MH - Percutaneous Coronary Intervention/adverse effects/*mortality MH - Platelet Aggregation Inhibitors/*administration & dosage/adverse effects MH - Predictive Value of Tests MH - Retrospective Studies MH - Risk Assessment MH - Risk Factors MH - ST Elevation Myocardial Infarction/diagnosis/*mortality/*surgery MH - Time Factors MH - Treatment Outcome OTO - NOTNLM OT - PRECISE-DAPT score OT - ST elevation myocardial infarction OT - in-hospital mortality EDAT- 2018/10/17 06:00 MHDA- 2019/04/23 06:00 CRDT- 2018/10/17 06:00 PHST- 2018/10/17 06:00 [pubmed] PHST- 2019/04/23 06:00 [medline] PHST- 2018/10/17 06:00 [entrez] AID - 10.1177/0003319718807057 [doi] PST - ppublish SO - Angiology. 2019 May;70(5):440-447. doi: 10.1177/0003319718807057. Epub 2018 Oct 15.