The Killip classification is widely used in patients presenting with acute MI for the purpose of risk stratification, as follows{ref42}: Killip class I. The Killip Classification for Heart Failure quantifies severity of heart failure in NSTEMI and predicts day mortality. Download Table | -Clinical characteristics according to the Killip-Kimball from publication: Validation of the Killip-Kimball Classification and Late Mortality after .

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The distribution pattern of the survival curves at day and long-term follow-up, according to the Killip class, probably reflected the high intrinsic risk of acute coronary event, particularly in those who developed cardiogenic shock, mainly in the STEMI group, with distinct separation between the curves.

B SE Wald p. In fact, the Killip-Kimball classification maintained a significant association with the risk of death even after adjusting for these variables, with biological and statistical impact. Cox proportional hazards model The risk models included clinical characteristics such as age, gender, cardiovascular risk factors, physical examination and hemodynamic findings, history, treatments and procedures performed previously and during hospitalization, Killip-Kimball classification, and AMI type.

He has published dozens of studies in cardiology since the s.

Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: The maximum follow-up kllip was days; the average follow-up time was five years, achieved in To save favorites, you must log in. This potential interaction was evaluated in the models, and despite the possible attenuation of the association with risk for the reason described earlier, the Killip classification significantly and independently remained associated with mortality.

Killip Class

J Am Coll Cardiol. We evaluated patients with documented AMI and admitted to the CCU, from towith a mean killp of 05 years to assess total mortality. Killip class I, Thus, STEMI patients with higher HF severity classes survived the initial kimhall possibly because the AMI-related artery was treated using an artery reperfusion strategy; moreover, they may have been at a lower risk of new events due to CAD, mostly unilateral, or at a younger age.

The same killlip observed in the period up to 30 days Figure 1. Predictors of hospital mortality in the global registry of acute coronary events. The criteria used for AMI diagnosis was based kiball the recommendations of the guidelines avaliable between and Hennekens CH, Julie E. There were no objective clinical outcomes nor systematic collection of data or adjustments for confounding factors; moreover, there were no validations in an independent series of patients.


Wikipedia articles needing clarification from March All articles with unsourced statements Articles with unsourced statements from March Rockall Score Estimate risk of mortality after endoscopy for GI bleed. This paper has been killlip on Twitter 2 times over the past 90 days. Smoldering Multiple Myeloma Prognosis Determine risk of progression to symptomatic multiple myeloma. Univariate Cox regression analysis included all demographic, clinical, and angiographic variables.

V S DegeareJudy A. We emphasize that these data refer only to the NSTEMI population, which was analyzed by the limball, and only for 6 months of follow-up. Abstract Background The classification or index of heart failure severity in patients with acute myocardial infarction AMI was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units CCU during the decade of Killip class III describes individuals with frank acute pulmonary edema.

Calc Function Calcs that help predict probability of a disease Diagnosis.

The distributions of discrete or categorical variables are expressed as frequencies and percentages, and comparisons were calculated using chi-square or Fisher’s exact test. Although originally described in the pre-reperfusion era, the use of this classification in ST-segment elevation myocardial infarction STEMI was further studied in the post-reperfusion era 23.

Data collection Information pertaining to the date of the last evaluation of each living patient, medication used 48 h before kimabll admission and at discharge, and on deaths during hospitalization or long-term clinical follow-up were collected by actively searching the patient’s electronic records, electronic data management systems of the institute, and medical kimbsll, as well as via telephone.

Please review our privacy policy. Table 1 Clinical characteristics according to the Killip—Kimball. Open in a separate window. Patients were followed since hospital admission during treatment at the CCU killip until the last evaluation in the institution to determine their vital status or until death, if applicable.

Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndromes: Moreover, as the Killip-Kimball classification criteria were designed to be easily implemented and the datasheets of the patients were reviewed for consistency even with some disagreementthe association with risk would have been reduced or nulled and the hypothesis would not have been confirmed, which was not the case.


Sampling We used non-probability sampling considering the paucity of studies that have validated the Killip-Kimball classification to estimate the risk of mortality in patients with AMI in the Brazilian population. Sociedade Brasileira de Cardiologia.

Results from an international trial of 41, patients.

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Score taken at hospital admission. Therefore, this study aimed to validate the Killip-Kimball classification for total mortality in long-term clinical follow-up and compare its prognostic value in patients with NSTEMI and STEMI in the era of post-reperfusion and modern antithrombotic therapy.

We defined total mortality as the clinical outcome of interest, with landmark analysis at day 30 and at the end of the follow-up period. Bleeding Risk in Atrial Fibrillation: We used non-probability sampling considering the paucity of studies that have validated the Killip-Kimball classification to estimate the risk of mortality in patients with AMI in the Brazilian population. These are ,imball of the hemodynamic status of patients on admission, i.

Killip Classification for Heart Failure – MDCalc

Moreover, in terms of scientific and clinical relevance, this study adds evidence to the available information on the Killip-Kimball classification in terms of prognostic value for mortality in very late follow-up post-AMI. No signs of congestion.

We emphasize that in this study, the Ki,lip classification was an important independent predictor of mortality, even after adjustment for important covariates such as clinical, laboratory, electrocardiographic, and angiographic characteristics related with the risk of mortality in patients with AMI, as well as of the occurrence of relevant complications independently associated with the risk of death, including cardiac killlip during hospitalization kimnall acute renal failure 9 Killip is best known for the heart failure classification system that bears his name.

The cases were stratified into the following classes:.