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A Vascular Complications Risk (VASCOR) score for patients undergoing invasive cardiac procedures in the catheterization laboratory setting: A prospective cohort study.
- Source :
-
European Journal of Cardiovascular Nursing . Jun2017, Vol. 16 Issue 5, p409-417. 9p. - Publication Year :
- 2017
-
Abstract
- Background: Vascular complications are still common in the catheterization laboratory setting. However, no risk scores for their prediction have been described. With a view to bridging this gap, the present study sought to develop and validate a score for prediction of vascular complications associated with arterial access in patients undergoing interventional cardiology procedures. Methods: This prospective multicenter cohort study included adult patients who underwent cardiac catheterization via the femoral or radial route. The outcomes of interest were: access site hematoma; major and minor bleeding; and retroperitoneal hemorrhage, pseudoaneurysm, or arteriovenous fistula requiring surgical repair. Past medical history as well as pre-procedural, intra-procedural, and post-procedural variables were collected. Patients were randomly allocated to the derivation or validation cohorts at a 2:1 ratio. The following equation constituted the score: (>6F introducer sheath×4.0)+(percutaneous coronary intervention×2.5)+(history of vascular complication after prior interventional cardiology procedure×2.0)+(prior use of warfarin or phenprocoumon×2.0)+(female sex×1.5)+(age⩾60 years×1.5). The maximum score is 13.5 points. Results: A score dichotomized at ⩾3 (best cutoff for balancing sensitivity and specificity) was moderately accurate (sensitivity=0.66 (95% confidence interval: 0.59–0.73); specificity=0.59 (95% confidence interval: 0.56–0.61)). Patients with a score ⩾3 were at increased risk of complications (odds ratio: 2.95; 95% confidence interval: 2.22–3.91). Conclusions: This study yielded a score that is capable of predicting vascular complications and easily applied in daily practice by providers working in the catheterization laboratory setting. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEMATOMA
*HEMORRHAGE risk factors
*FALSE aneurysms
*ARTERIOVENOUS fistula
*ACADEMIC medical centers
*ANTICOAGULANTS
*CARDIAC catheterization
*CARDIOVASCULAR disease nursing
*CHI-squared test
*CONFIDENCE intervals
*EXPERIMENTAL design
*CARDIAC patients
*LONGITUDINAL method
*RESEARCH methodology
*MEDICAL cooperation
*MYOCARDIAL revascularization
*HEALTH outcome assessment
*PATIENT monitoring
*RESEARCH
*RESEARCH funding
*RISK assessment
*STATISTICAL sampling
*SCALE analysis (Psychology)
*STATISTICS
*T-test (Statistics)
*TRANSLUMINAL angioplasty
*COMORBIDITY
*LOGISTIC regression analysis
*SPECIALTY hospitals
*INTER-observer reliability
*RECEIVER operating characteristic curves
*RESEARCH methodology evaluation
*PLATELET aggregation inhibitors
*VASCULAR catheters
*DATA analysis software
*ODDS ratio
*MANN Whitney U Test
*DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 14745151
- Volume :
- 16
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- European Journal of Cardiovascular Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 123382762
- Full Text :
- https://doi.org/10.1177/1474515116684250