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[心肌梗死的短期和长期预后。临床方面及非侵入性技术的作用与局限性]

[Short- and long-term prognosis of myocardial infarct. Contributions and limitations of the clinical aspects and non-invasive technics].

作者信息

Bernard R, Cleempoel H, Vainsel H, Renard M, Hoylaerts M, Vandenbossche J L, de Marneffe M, Lenaers A, Messin R, Van Thiel E

出版信息

Bull Mem Acad R Med Belg. 1990;145(1-2):98-106; discussion 107-9.

PMID:2383720
Abstract

Clinical variables and those obtained by non-invasive techniques were recorded in a series of 306 patients discharged from hospital after an acute myocardial infarction. We studied the prognostic value at 2 and 12 months of these variables (alive/dead). The results of simple clinical data were as discriminant as those from more elaborated techniques. When the prognostic value of the same data at 12 months was studied in those surviving for two months, most of the predictive variables lost their discriminant power. The study shows that the predictive value of many of the predischarge variables usually taken into account in the assessment of long term risk, does not extend beyond the first two months.

摘要

在一系列306例急性心肌梗死后出院的患者中记录了临床变量和通过非侵入性技术获得的变量。我们研究了这些变量(存活/死亡)在2个月和12个月时的预后价值。简单临床数据的结果与更精细技术的数据结果具有相同的判别力。当在存活两个月的患者中研究相同数据在12个月时的预后价值时,大多数预测变量失去了判别力。该研究表明,在评估长期风险时通常考虑的许多出院前变量的预测价值不会超过前两个月。

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