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TIMI Score Modification for Predicting 30-Day Mortality Following Primary Percutaneous Coronary Intervention among STEMI Patients at Cipto Mangunkusumo National Hospital.

Created on 08 Oct 2026

Authors

Sally Aman Nasution, Lusiani Lusiani, Michelle Frastica, Ikhwan Rinaldi, Lie Khie Chen, Syahidatul Wafa, Andhika Rachman

Published in

Acta medica Indonesiana. Volume 58. Issue 3. Pages 386-392.

Abstract

This study to validate the TIMI (Thrombolysis in Myocardial Infarction) core and also assess the validity of a modified TIMI score that includes three additional variables from primary percutaneous coronary intervention (PPCI) findings: left ventricular ejection fraction based on echocardiography post-PPCI, TIMI flow, and the number of lesions in a population of STEMI (ST-elevation myocardial infarction) patients who underwent PPCI at Cipto Mangunkusumo National Hospital, with a focus on predicting 30-day mortality. This is the first study to validate the TIMI score among STEMI patients who underwent PPCI at Cipto Mangunkusumo National Hospital. This study aimed to develop a modified TIMI score with enhanced ability to predict 30-day mortality among STEMI patients at Cipto Mangunkusumo National Hospital following PPCI.
Among 230 study subjects, the 30-day mortality rate for the patients post-PPCI was 10%. There was no significant association between ejection fraction based on echocardiography after PPCI, TIMI flow, or the number of lesions and 30-day mortality post-PPCI in the STEMI patients. The discrimination performance of the TIMI score in predicting 30-day mortality post-PPCI was AUC (Area Under the Curve) 0.901, with good calibration.
The performance of the TIMI score in terms of predicting 30-day mortality after PPCI in STEMI patients at Cipto Mangunkusumo National Hospital was excellent (AUC 0.901, 95% CI 0.849-0.952), with good calibration. TIMI score can predict the 30-day mortality rate among STEMI patients undergoing PPCI.

PMID:
42845082
Bibliographic data and abstract were imported from PubMed on 08 Oct 2026.

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