Timi score population8/11/2023 ![]() Many guidelines recommend higher risk levels receiving more aggressive medical intervention and/or receiving early invasive management.Īntman EM, Cohen M, Bernink PJLM, McCabe CH, Hoacek T, Papuchis G, Mautner B, Corbalan R, Radley D, Braunwald E. If patients are in the 0 or 1 point group, they should be further risk stratified using another risk score or one’s own institutional practices, as risk is not low enough to safely discharge from the hospital. Newer chest pain risk scores such as the HEART Score have been shown to better stratify risk than the TIMI Score, particularly in the undifferentiated chest pain patient. Unclear if this risk score can be used in patients with chest pain in the setting of cocaine use. Originally derived with patients with known unstable angina or NSTEMI. TIMI Risk Score for unstable angina/NSTEMI was developed as one of the earliest chest pain decision rules that was widely implemented. Patients who have a higher risk score may require more aggressive medical or procedural intervention. Patients with a score of 0 or 1 point are at lower risk of adverse outcome (death, MI, urgent revascularization) compared to patients with a higher risk score. Validation studies showed 1.7 to 2.1% of patients with a score of 0 still had adverse outcomes within 30 days. The original study showed 4.7% of patients with a score of 0 or 1 had adverse outcomes within 14 days. ScoreĪ TIMI risk score of 0 or 1 does not equal zero risk of adverse outcome. NB!!! A TIMI Risk Score of 0 does not equate to zero risk of adverse outcome. *Risk factors for CAD: Family history of CAD, hypertension, hypercholesterolemia, diabetes, or current smoker (thanks to Jeff Geske at Mayo for this update!) Interpretation of results: TIMI UA/NSTEMI assessment as addition of the selected points: Criteria ![]() Risk at 14 days of: all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization Hypertension, hypercholesterolemia, diabetes, family history of CAD, or current smoker:Ī TIMI Risk Score of 0 does not equate to zero risk of adverse outcome.ĭownload result as PDF file Patient’s score ![]()
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