Application of Modern Clinical Risk Scores in the Global Assessment of Risks Related to the Diagnosis and Treatment of Acute Coronary Syndromes in Everyday Medical Practice

Lukasz Gawinski, Per Engelseth and Remigiusz Kozlowski
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Lukasz Gawinski: Department of Management and Logistics in Health Care, Medical University of Lodz, 90-237 Lodz, Poland
Per Engelseth: Narvik Campus, Tromsø School of Business and Economics, University of Tromsø, 8505 Narvik, Norway
Remigiusz Kozlowski: Center of Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland

IJERPH, 2021, vol. 18, issue 17, 1-28

Abstract: This article presents an overview of contemporary risk assessment systems used in patients with myocardial infarction. The full range of risk scales, both recommended by the European Society of Cardiology and others published in recent years, is presented. Scales for assessing the risk of ischemia/death as well as for assessing the risk of bleeding are presented. A separate section is devoted to systems assessing the integrated risk associated with both ischemia and bleeding. In the first part of the work, each of the risk scales is described in detail, including the clinical trials/registers on the basis of which they were created, the statistical methods used to develop them, as well as the specification of their individual parameters. The next chapter presents the practical application of a given scale in the patient risk assessment process, the timing of its application on the timeline of myocardial infarction, as well as a critical assessment of its potential advantages and limitations. The last part of the work is devoted to the presentation of potential directions for the development of risk assessment systems in the future.

Keywords: risk assessment system; myocardial infarction; treatment decision-making (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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