Value of ACEF score in evaluating revascularization within 6 months after percutaneous coronary intervention in patients with acute coronary syndrome

Abstract

Objective To explore the value of Age, Creatinine and Ejection Fraction Score (ACEF Score) in assessing the risk of revascularization within 6 months after percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS). Methods This was a retrospective study. The 1 002 ACS patients who received PCI in the First Affiliated Hospital of Air Force Medical University from January 2015 to December 2017 were divided into case group and control group according to whether PCI revascularization was performed within 6 months. We collected the patients' clinical data, including gender, age, cardiovascular history, diabetes history, smoking history, GRACE score, heart rate, systolic blood pressure, electrocardiogram, echocardiography, cardiac function, coronary angiography results and drug use. The ACEF score was calculated and the patients were stratified according to the score results (low score: ACEF≤1, middle score: 1 1.3). The clinical data and angiographic results of patients with different ACE stratification were compared. Kaplan-Meier survival analysis was used to compare the occurrence of revascularization within 6 months after PCI in ACS patients with different layers. Results The ACEF score of patients in the case group was significantly higher than that of the control group (1.18±0.34 vs. 1.05±0.32, t=6.235, P 1.3 groups, the proportion of diabetes mellitus was higher in the case group (both P<0.01). The higher the ACEF score, the higher the risk of readmission in ACS patients 6 months after PCI (P<0.01). Conclusions ACEF score can be used to assess the risk of revascularization in ACS patients within 6 months after PCI. Key words: Age, creatinine and ejection fraction score; Acute coronary syndrome; Angioplasty, transluminal, percutaneous coronary; Patient readmission