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Prognostic Value of Coronary Artery Disease-Reporting and Data System Score for Major Adverse Cardiac Events in Patients Attending the Emergency Department With Acute Chest Pain

Authors
 Jiwoo Park  ;  Jin Hur  ;  Kyunghwa Han  ;  Dong Jin Im  ;  Kye Ho Lee  ;  Young Joo Suh  ;  Yoo Jin Hong  ;  Hye-Jeong Lee  ;  Young Jin Kim  ;  Byoung Wook Choi 
Citation
 JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, Vol.45(3) : 395-402, 2021-05 
Journal Title
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY
ISSN
 0363-8715 
Issue Date
2021-05
MeSH
Adult ; Aged ; Chest Pain / etiology* ; Coronary Artery Disease / diagnostic imaging* ; Coronary Artery Disease / mortality ; Decision Support Systems, Clinical* ; Emergency Service, Hospital ; Female ; Humans ; Male ; Middle Aged ; Prognosis ; Radiology Information Systems* ; Risk Assessment ; Risk Factors ; Tomography, X-Ray Computed
Abstract
Objective: This study aimed to compare the prognostic performance of Coronary Artery Disease (CAD)-Reporting and Data System (CAD-RADS) score with those of clinical risk factors and the extent of CAD classification for predicting major adverse cardiac events in emergency department patients.

Methods: A total of 779 patients with acute chest pain at low to intermediate risk for CAD underwent cardiac computed tomography angiography. The primary end point was early and late major adverse cardiac events. We developed the following models: model 1, clinical risk factors; model 2, clinical risk factors and CAD-RADS scores; model 3, clinical risk factors and extent of CAD.

Results: The C-statistics revealed that both CAD-RADS score and CAD extent improved risk stratification over the clinical risk factors (C-index for early events: C-index: 0.901 vs 0.814 and 0.911 vs 0.814; C-index for late events: 0.897 vs 0.808 and 0.905 vs 0.808; all P < 0.05).

Conclusions: The CAD-RADS score had additional risk prediction benefits over clinical risk factors for emergency department patients.
Full Text
https://journals.lww.com/jcat/Fulltext/2021/05000/Prognostic_Value_of_Coronary_Artery.8.aspx
DOI
10.1097/RCT.0000000000001153
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Jin(김영진) ORCID logo https://orcid.org/0000-0002-6235-6550
Park, Jiwoo(박지우)
Suh, Young Joo(서영주) ORCID logo https://orcid.org/0000-0002-2078-5832
Lee, Kye Ho(이계호) ORCID logo https://orcid.org/0000-0001-5568-1833
Lee, Hye Jeong(이혜정) ORCID logo https://orcid.org/0000-0003-4349-9174
Im, Dong Jin(임동진) ORCID logo https://orcid.org/0000-0001-8139-5646
Choi, Byoung Wook(최병욱) ORCID logo https://orcid.org/0000-0002-8873-5444
Han, Kyung Hwa(한경화)
Hur, Jin(허진) ORCID logo https://orcid.org/0000-0002-8651-6571
Hong, Yoo Jin(홍유진) ORCID logo https://orcid.org/0000-0002-7276-0944
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184552
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