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比较 HATCH、HAVOC 和 CHA2DS2-VASc 评分在房颤全因死亡率预测中的作用: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.

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. 2023 May 22;99(1170):326-332. doi: 10.1136/postgradmedj-2021-141147.

DOI:10.1136/postgradmedj-2021-141147
PMID:37227970
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

本研究关注 6444 例房颤(AF)患者的 3 种评分对全因死亡率的预测能力。

方法

为评估 HATCH、HAVOC 和 CHA2DS2-VASc 评分预测死亡风险的准确性,应用受试者工作特征曲线下面积(AUROC)。

结果

随访期间,死亡率的累积发生率与 3 种评分明显相关(对数秩检验,p<0.001)。HATCH 评分(0.6618)的 AUROC 明显高于 HAVOC 评分(0.5733)和 CHA2DS2-VASc 评分(0.6423)。

结论

与另外两种评分相比,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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