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比较HATCH、HAVOC和CHA2DS2-VASc评分对房颤全因死亡率的预测价值:一项真实世界证据研究。

Comparisons of HATCH, HAVOC and CHA2DS2-VASc scores for all-cause mortality prediction in atrial fibrillation: a real-world evidence study.

作者信息

Hu Wei Syun, Lin Cheng Li

机构信息

School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan.

Division of Cardiovascular Medicine, Department of Medicine, China Medical University Hospital, Taichung, Taiwan.

出版信息

Postgrad Med J. 2022 Jan 24. doi: 10.1136/postmj/postgradmedj-2021-141147.

DOI:10.1136/postmj/postgradmedj-2021-141147
PMID:37076441
Abstract

OBJECTIVE

This study focused on the predictive ability of the 3 scores for all-cause mortality in 6444 patients with atrial fibrillation (AF).

METHODS

To assess the predictive accuracy of risk of death modelled by HATCH, HAVOC and CHA2DS2-VASc scores, the area under the curve of receiver operating characteristics (AUROC) was applied.

RESULTS

Over follow-up time, the cumulative incidence of death was clearly associated with the three scores (log-rank test, p<0.001). The AUROC for the HATCH (0.6618) was significantly higher than HAVOC Score (0.5733) and CHA2DS2-VAScs Score (0.6423).

CONCLUSIONS

HATCH score has better ability in predicting mortality in comparison to other two scores in patients with AF.

摘要

目的

本研究聚焦于6444例心房颤动(AF)患者中这三种评分对全因死亡率的预测能力。

方法

为评估由HATCH、HAVOC和CHA2DS2-VASc评分所构建的死亡风险预测准确性,应用了受试者工作特征曲线下面积(AUROC)。

结果

在随访期间,死亡累积发生率与这三种评分显著相关(对数秩检验,p<0.001)。HATCH评分的AUROC(0.6618)显著高于HAVOC评分(0.5733)和CHA2DS2-VASc评分(0.6423)。

结论

与其他两种评分相比,HATCH评分在预测AF患者死亡率方面具有更好的能力。

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