Coronary disease & ACSCohort study

Development and validation of the INFLammation in Acute Myocardial diseases risk Estimation for Myocardial Infarction (INFLAME-MI) score

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • multicentre
  • external validation

Authors' conclusion

In external validation, it demonstrates comparable discrimination, improved calibration, and higher net benefit at ≤7% thresholds compared with the GRACE score, particularly within key decision-making ranges.

Study context

Population
Consecutive patients presenting with acute MI, 2016–2023derivation 3028
Exposure
INFLAME-MI score vs Global Registry of Acute Coronary Events (GRACE) score
Outcome
In-hospital mortality

Main finding

In-hospital mortality (external validation)

AUC

0.92

P = 0.256

By group

INFLAME-MI

6.2 (P = 0.102)

Hosmer-Lemeshow χ²₈

GRACE

22.9 (P < 0.001)

Hosmer-Lemeshow χ²₈

As reported in the abstract

Observational data: associations, not effects.

Further findings

In-hospital mortality, internal discrimination (derivation cohort)

Internal discrimination, AUC
0.88
  • derivation cohort n = 3028

Original publication

Development and validation of the INFLammation in Acute Myocardial diseases risk Estimation for Myocardial Infarction (INFLAME-MI) score. Eur J Prev Cardiol. Published 20 January 2026. doi:10.1093/eurjpc/zwag035

Summarised from the published abstract; every number is checked against it