NGHIÊN CỨU GIÁ TRỊ CỦA THANG ĐIỂM ACTION ICU TRONG TIÊN ĐOÁN BIẾN CỐ NỘI VIỆN CẦN NHẬP ĐƠN VỊ HỒI SỨC TÍCH CỰC Ở BỆNH NHÂN NHỒI MÁU CƠ TIM CẤP KHÔNG ST CHÊNH LÊN

Abstract

Objective: To evaluate the predictive value of the ACTION ICU score for in-hospital events requiring intensive care unit (ICU) admission in patients aged ≥65 years with non-ST-elevation myocardial infarction (NSTEMI). Methods: A retrospective study was conducted on 122 patients aged ≥65 years who were hospitalized for NSTEMI at Gia Dinh People's Hospital from January 2022 to December 2023. Results: The ACTION ICU score was significantly higher in the group with in-hospital events requiring ICU admission compared to the group without such events. The area under the ROC curve (AUC) for the ACTION ICU score was 0.792, 95% CI (0.688–0.896), with a sensitivity of 63.5%, specificity of 82%, and an optimal cut-off value of 11 points (p < 0.001) for predicting ICU admission in NSTEMI patients. Conclusion: The ACTION ICU score demonstrated good predictive value for identifying in-hospital events requiring ICU admission in patients with non-ST-elevation myocardial infarction.