Perbandingan Skor QRS Selvester dan Skor Grace sebagai Prediktor Kejadian Kardiovaskular Mayor selama Rawatan pada Pasien Infark Miokard Akut Non Elevasi Segmen ST di RSUP H. Adam Malik Medan

Abstract

Background: various kinds of scoring methods has been developed to assess the risk of MACE, one of scoring method that is commonly used is GRACE. Selvester scoring system is scoring method based on changes in cardiac activity, however there has been no previous study regarding the comparison between GRACE and Selvester in predicting MACE. The aim of this study is to compare GRACE and Selvester score in predicting MACE in patient with NSTEMI during hospitalization. Metode: 60 individual diagnosed with NSTEMI in RSUP H. Adam Malik was enrolled in this study. GRACE score, Selvester score, and MACE were recorded during hospitalization. Univariate and bivariate analysis was performed to assess the relationship between GRACE score, Selvester score and MACE. The predictive value of GRACE and Selvester score was analyzed using ROC curve. Result: From 60 samples enrolled in this study, 40% samples had MACE during hospitalization. Average GRACE score and median Selvester score is higher in the MACE group (p<0,001). The areas unther the ROC curve showed GRACE and Selvester score has good predictive value in predicting MACE with AUC 0,838 and 0,81 sequentially. Conclusion: GRACE score is superior than Selvester score in predicting MACE in patient with NSTEMI