Ender Öner, Serkan Kahraman

Clinic of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, İstanbul, Türkiye

Keywords: ST-elevation myocardial infarction; inflammation; mortality; risk scores

Abstract

Introduction: ST-segment elevation myocardial infarction (STEMI) is a significant contributor to mortality. The identification of high-risk patients holds great importance for prognosis. The development of a scoring system that incorporates both inflammatory and nutritional status components can provide valuable insights into prognosis.

Patients and Methods: This is a retrospective observational study comprising 570 consecutive ST-elevation myocardial infarction patients who underwent primary coronary intervention between 2018 and 2020. Patient data were obtained from the electronic database of the hospital.

Results: The incidence of in-hospital mortality rate was 4.9%. The entire group was then divided into two groups based on the presence of in-hospital mortality: 542 patients without in-hospital mortality constituted group 1, while 28 patients with in-hospital mortality formed group 2. In the multivariate logistic regression analysis, the Naples score was identified as an independent predictor of in-hospital mortality.

Conclusion: A higher Naples score is associated with increased in-hospital mortality in patients with STelevation myocardial infarction who undergo primary coronary intervention.

Cite this article as: Öner E, Kahraman S. Predictive value of the naples score for in-hospital mortality in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention. Koşuyolu Heart J 2023;26(3):115-120.

Ethics Committee Approval

This study was approved by the Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital Clinical Ethics Committee (Decision no: 2023.04-53, Date: 16.05.2023).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept/Design - EÖ; Analysis/Interpretation - SK; Data Collection - SK; Writing - EÖ; Critical Revision - EÖ; Final Approval - EÖ; Statistical Analysis -SK; Overall Responsibility - EÖ.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declare that this study has received no financial support.