Killip scale reclassification according to lung ultrasound: Killip pLUS
Authors' conclusion
The Killip pLUS scale provides enhanced risk stratification compared to the Killip and LUCK scales while preserving simplicity.
Study context
- Population
- Patients admitted for STEMI, lung ultrasound (LUS) within 24 h of admission
- Participants
- 373 patients
- Exposure
- Killip pLUS vs Killip scale vs LUCK scale for risk stratification
- Outcome
- In-hospital mortality (prediction, AUC)
- Follow-up
- In-hospital
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
In-hospital mortality prediction
| Group | AUC |
|---|---|
| Killip pLUS | 0.90 (95% CI 0.85-0.95) |
| Killip | 0.85 (95% CI 0.73-0.96) |
| LUCK | 0.83 (95% CI 0.70-0.95) |
AUC
Killip pLUS0.90 (95% CI 0.85-0.95)
Killip0.85 (95% CI 0.73-0.96)
LUCK0.83 (95% CI 0.70-0.95)
- Killip pLUS vs Killip, LUCK: P = 0.024
Observational data: associations, not effects.
Further findings
| Outcome | LUCK | P value |
|---|---|---|
| MACE (mortality or readmission for HF, ACS or stroke) prediction · 1 year after admissionKillip pLUS vs Killip, LUCK | P = 0.033 | |
| AUC | 0.73 (95% CI 0.66-0.81) |
- MACE (mortality or readmission for heart failure (HF), ACS or stroke) prediction: Killip pLUS AUC 0.77 (95% CI 0.71-0.85)
- MACE (mortality or readmission for HF, ACS or stroke) prediction: Killip AUC 0.72 (95% CI 0.65-0.79)
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Killip scale reclassification according to lung ultrasound: Killip pLUS. Eur Heart J Acute Cardiovasc Care. Published 4 June 2024. doi:10.
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