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- W2953943810 abstract "Aims: The treatment of ACS aims to reduce the risk of future ischaemic events but may increase the risk of bleeding and contrast induced nephropathy (CIN), which can have an impact on length of hospitalisation (LOS), survival and health care costs. There are risk scores that are validated for predicting the above complications, however to calculate each of these scores individually would be time consuming and impractical. We have developed a tool that can calculate ischaemic risk, bleeding risk and CIN risk simultaneously, at the time of ACS diagnosis. We aim to use this information to identify ACS patients at high risk for poor outcomes and long LOS. Methods: 276 sequential ACS patients had individual risk stratification performed. This included the risk of ischaemic events (GRACE score) and the risk of bleeding events (CRUSADE score). Findings: We will present our unique risk score calculator as well as risk-adjusted data on length of stay and readmission rates after acute coronary syndromes for 276 sequential patients (Table 1, Table 2). Increasing risk appears to predict a longer length of stay and higher readmission rate. These data provide an important foundation for further research into whether or not early identification of high risk patients can result in improved clinical care, reduced LOS and reduced readmission rates.Table 1GRACE Score.Risk CategoryNo. of admissionsAve. LOS(days)% Readmission rateLow risk512.4111.76Medium risk973.0821.65High risk1284.1219.53 Open table in a new tab Table 2Crusade Score.Risk CategoryNo. of admissionsAverage LOS (days)% Readmission rateVery low risk1272.9813.39Low risk632.8914.29Medium risk274.1122.22High risk233.4847.83Very high risk246.9233.33 Open table in a new tab" @default.
- W2953943810 created "2019-07-12" @default.
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- W2953943810 date "2019-01-01" @default.
- W2953943810 modified "2023-09-28" @default.
- W2953943810 title "Risk Assessment in Acute Coronary Syndromes (ACS) and the West Australian Cardiac Outcomes Registry (WACOR)" @default.
- W2953943810 doi "https://doi.org/10.1016/j.hlc.2019.06.427" @default.
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