The Killip Classification for Heart Failure quantifies severity of heart failure in NSTEMI and predicts day mortality. The Killip classification is widely used in patients presenting with acute MI for the purpose of risk stratification, as follows{ref42}: Killip class I. Conclusion: The Killip and Kimball classification performs relevant prognostic role in mortality at mean follow-up of 05 years post-AMI, with a.

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Killip 3rd T, Kimball JT. Score taken after 7 days of hospital admission.

KyK | Spanish to English | Medical (general)

Vote Promote or demote ideas. It is notable that our sample size was considerably greater than that in the study, which included patients with a suspected diagnosis of AMI. The principal investigators of the study request that you use the official version of the modified score here. Wikipedia articles needing clarification from March All articles with unsourced statements Articles with unsourced statements from March Log In Create Account.

The c-statistics predictive value of the TIMI risk score for mortality was 0. Or create a new account it’s free.

Killip Class

Enter your email address and we’ll send you a link to reset your password. Our study, in contrast, has some important differences. The average age of the population was Post Your ideas for ProZ. Reviewing applications can be fun and only takes a few minutes. Overall, the median age IQR was 64 Trends in management and outcomes of patients with acute myocardial infarction complicated by cardiogenic shock.

The mortality rates at 6 months in the study by Khot et al 4 were as follows: Furthermore, it is notable that the differences in survival distributions at day and long-term follow-up were statistically significant; this observation was similar for the two AMI groups. In terms of biological plausibility and emphasizing the negative impact on survival, ikllip associations of the Killip-Kimball classification with increased risk of death were consistent with physical examination variables.


Worsening Killip class has been found h be independently associated with increasing mortality in several studies.

Killip class

Numerical inputs and outputs Formula. An killlip risk score must be useful, simple and fast to apply to predict prognosis at short and long range.

Cardiac auscultation and teaching rounds: By using this site, you agree to the Terms of Use and Privacy Policy. 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.

Coronary artery bypass graft; AMI: However, it has been observed that the benefit of primary PCI is different in each group of patients and the benefit is greatest in those at high risk.

Ranson’s Criteria Estimate mortality in patients with pancreatitis. A potentially relevant issue in the treatment of patients with STEMI is that this population is highly heterogeneous regarding their risk of adverse events. J Am Coll Cardiol ; Cox model with initial data on hospital admission and predictors of mortality in the total follow-up of patients with STEMI. N Engl J Med.

Killip Class | Calculate by QxMD

I am not convinced of “head and neck” because I don’t see why they would be abbreviated with “k. With respect to cardiac function, Patients in Killip class I have an excellent prognosis, both in short- and long-term, whereas those in class III or IV have larger areas of necrosis, left ventricular remodeling and systolic dysfunction, and probably a greater extent of CAD.


Patients with confirmed acute coronary syndrome. In the meta-analysis by De Luca et al. He has published dozens of studies in cardiology since the s. Clinical follow-up and total mortality Kimbball were followed since hospital admission during treatment at the CCU and until the last evaluation in the institution to determine their vital status or until death, if applicable.

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 the high-risk group presented all the risk factors mentioned above, it has been observed that suboptimal reperfusion may be present in a large proportion of patients despite lillip achievement of TIMI 3 fow. For a minute there I thought I was in the wilderness.

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.

Subcategory of ‘Diagnosis’ designed to be very sensitive Rule Out.

Patients with a cardiac arrest prior to admission were excluded. Term search All of ProZ. Cardiac auscultatory skills of internal medicine and family practice trainees: Differences were considered significant at killkp p value of less than 0.

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