Прогнозирование госпитальной летальности у больных инфарктом миокарда с подъемом сегмента ST: эволюция технологий рискометрии и оценка их эффективности (обзор)

Стратификация рисков госпитальной летальности у больных инфарктом миокарда с подъемом сегмента ST на электрокардиограмме является важным этапом оказания специализированной медицинской помощи. В систематическом обзоре представлены данные научной литературы, характеризующие предсказательную ценность как классических прогностических шкал (GRACE, CADDILLAC, TIMI risk score for STEMI, РЕКОРД и др.), так и новых инструментов рискометрии, разработанных на основе современных методов машинного обучения. Большинство исследований по данной проблеме чаще всего сосредоточено на поиске новых предикторов неблагоприятных событий, позволяющих детализировать взаимосвязи показателей клинико-функционального статуса больных и конечной точки исследования. Важной задачей при этом является разработка прогностических алгоритмов госпитальной летальности, обладающих свойствами объяснимого искусственного интеллекта и пользующихся доверием врачей.

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