经皮冠状动脉介入术治疗急性冠脉综合征综合评价指标的构建

目的:构建急性冠脉综合征(acute coronary syndrome,ACS)患者接受经皮冠状动脉(冠脉)介入术(percutaneous coronary intervention,PCI)的效果评价指标及综合效果指数.方法:应用德尔菲法结合综合指数法确定评价PCI对ACS疗效的指标及权重.结果:经2轮德尔菲专家...

Construction of comprehensive evaluation indexes for percutaneous coronary intervention in acute coronary syndrome

Objective: To construct the evaluation index and comprehensive effect index of percutaneous coronary intervention (PCI) for the acute coronary syndrome (ACS). Methods: The Delphi method combined with the comprehensive index method was used to determine the indicators and weights for evaluating the effect of PCI for ACS. Results: After 2 rounds of Delphi expert consultation, the expert positive coefficients were 100% and 95.24%, the authority coefficients were 0.847 and 0.871, and the Kendall coordination coefficients were 0.364 and 0.403 (P<0.05). Through the comprehensive index method, the evaluation indicators and weights were obtained:2 first-level indicators including emergency mode (0.473) and cardiac catheterization room mode (0.527); 19 second-level indicators; and 41 third-level indicators. Conclusions: The constructed evaluation index and comprehensive effect index of PCI for ACS have guiding significance for the theory and practice of the technology and can provide a certain reference basis for the diagnosis and prognosis of ACS patients during the perioperative period at the level of effect evaluation.