
Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey
Yıl: 2023 Cilt: 27 Sayı: 5 Sayfa Aralığı: 258 - 265 Metin Dili: İngilizce DOI: 10.14744/AnatolJCardiol.2022.2824 İndeks Tarihi: 02-06-2023
Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey
Öz: Background: Coronary care units are sophisticated clinics established to reduce deaths due to acute cardiovascular events. Current data on coronary care unit mortality rates and predictors of mortality in Turkey are very limited. The MORtality predictors in CORonary care units in TURKey (MORCOR-TURK) trial was designed to provide information on the mortality rates and predictors in patients followed in coronary care units in Turkey. Methods: The MORCOR-TURK trial will be a national, observational, multicenter, and noninterventional study conducted in Turkey. The study population will include coronary care unit patients from 50 centers selected from all regions in Turkey. All consecutive patients admitted to coronary care units with cardiovascular diagnoses between 1 and 30 September 2022 will be prospectively enrolled. All data will be collected at one point in time, and the current clinical practice will be evaluated (ClinicalTrials.gov number NCT05296694). In the first step of the study, admission diagnoses, demographic characteristics, basic clinical and laboratory data, and in-hospital management will be assessed. At the end of the first step, the predictors and rates of in-hospital mortality will be documented. The second step will be in cohort design, and discharged patients will be followed up till 1 year. Predictors of short- and long-term mortality will be assessed. Moreover, a new coronary care unit mortality score will be generated with data acquired from this cohort. Results: The short-term outcomes of the study are planned to be shared by early 2023. Conclusion: The MORCOR-TURK trial will be the largest and most comprehensive study in Turkey evaluating the rates and predictors of in-hospital mortality of patients admitted to coronary care units.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Killip Iii T, Kimball JT, York N. Treatment of myocardial infarction in a Coronary Care Unit A two year experience with 250 patients*. Am J Cardiol. 1967;20(4):457-464. [CrossRef]
- 2. Rotstein Z, Mandelzweig L, Lavi B, Eldar M, Gottlieb S, Hod H. Does the coronary care unit improve prognosis of patients with acute myocardial infarction? A thrombolytic era study. Eur Heart J. 1999;20(11):813-818. [CrossRef]
- 3. Teskey RJ, Calvin JE, McPhail I. Disease severity in the coronary care unit. Chest. 1991;100(6):1637-1642. [CrossRef]
- 4. Katz JN, Shah BR, Volz EM, et al. Evolution of the coronary care unit: clinical characteristics and temporal trends in healthcare delivery and outcomes. Crit Care Med. 2010;38(2):375-381. [CrossRef]
- 5. Doğan S, Dursun H, Can H, Ellidokuz H, Kaya D. Long-term assessment of coronary care unit patient profile and outcomes: analyses of the 12-years patient records. Turk J Med Sci. 2016;46(3):801-806. [CrossRef]
- 6. Külahçıoğlu Ş, Acar RD, İzci S, et al. Characteristics and genderrelated differences of patients admitted to a large intensive Cardiac Care Unit: A single-center experience with over 55 000 patients. Turk Kardiyol Dern Ars. 2022;50(6):431-437. [CrossRef]
- 7. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. Apache II: a severity of disease classification system. Crit Care Med. 1985;13(10):818-829. [CrossRef]
- 8. le Gall JR, Lemeshow S. Simplified acute physiology score (SAPS II) based on a European / North American multicenter study. JAMA. 1993;270(24):2957-2963.
- 9. Moreno R, Morais P, Morais, P. Outcome prediction in intensive care: results of a prospective, multicentre, Portuguese study. Intensive Care Med. 1997;23.
- 10. Beck DH, Smith GB, Pappachan JV v., Millar B. External validation of the SAPS II, Apache II and Apache III prognostic models in South England: a multicentre study. Intensive Care Med. 2003;29(2):249-256. [CrossRef]
- 11. Bagaswoto HP, Taufiq N, Setianto BY. A simplified risk scoring system to predict mortality in cardiovascular Intensive Care Unit. Cardiol Res. 2019;10(4):216-222. [CrossRef]
- 12. Pramudyo M, Bijaksana TL, Yahya AF, Putra ICS. Novel scoring system based on clinical examination for prediction of in-hospital mortality in acute coronary syndrome patients: a retrospective cohort study. Open Heart. 2022;9(2):e002095. [CrossRef]
- 13. Blatter R, Amacher SA, Bohren C, et al. Comparison of different clinical risk scores to predict long-term survival and neurological outcome in adults after cardiac arrest: results from a prospective cohort study. Ann Intensive Care. 2022;12(1):77. [CrossRef]
- 14. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599-3726. [CrossRef]
- 15. van Diepen S, Katz JN, Albert NM, et al. Contemporary management of cardiogenic shock: A scientific statement from the American Heart Association. Circulation. 2017;136(16):e232- e268. [CrossRef]
- 16. Julian DG. The history of coronary care units. Br Heart J. 1987; 57(6):497-502. [CrossRef]
- 17. Julian DG. Treatment of cardiac arrest in acute myocardial ischaemia and infarction. Lancet. 1961;2(7207):840-844. [CrossRef]
- 18. Braunwald E. Evolution of the management of acute myocardial infarction: a 20th century saga. Lancet. 1998;352(9142):1771- 1774. [CrossRef]
- 19. Morrow DA, Fang JC, Fintel DJ, et al. Evolution of critical care cardiology: transformation of the cardiovascular Intensive Care Unit and the emerging need for new medical staffing and training models: a scientific statement from the American Heart Association. Circulation. 2012;126(11):1408-1428. [CrossRef]
- 20. Kayikçioǧlu M, Tokgözoğlu L, Kiliçkap M, et al. Data on prevalence of dyslipidemia and lipid values in Turkey: systematic review and meta-analysis of epidemiological studies on cardiovascular risk factors. Turk Kardiyol Dern Ars. 2018;46(7): 556-574. [CrossRef]
- 21. Erol MK, Kayıkçıoğlu M, Kılıçkap M. Rationale and design of the Turkish acute myocardial infarction registry: the Turkmi study. Anatol J Cardiol. 2020;23(3):169-175. [CrossRef]
- 22. Güzel T, Aktan A, Kılıç R, et al. Oral anticoagulant use and long- term follow-up results in patients with non-valvular atrial fibrillation in Turkey AFTER-2 study. Anatol J Cardiol. 2022;26(7): 567-576. [CrossRef]
- 23. Hayıroğlu Mİ, Keskin M, Uzun AO, et al. Predictors of in-hospital mortality in patients with ST-segment elevation myocardial infarction complicated with cardiogenic shock. Heart Lung Circ. 2019;28(2):237-244. [CrossRef]
- 24. Altay S, Yıldırımtürk Ö, Çakmak HA, et al. New oral anticoagulants- TURKey (NOAC-TURK): multicenter cross-sectional study. Anatol J Cardiol. 2017;17(5):353-361. [CrossRef]
- 25. Özlek E, Çekiç EG, Özlek B, et al. Rationale, design, and methodology of the EPIC (Epidemiology of Polypharmacy and Potential drug-drug Interactions in Elderly Cardiac Outpatients) study. Turk Kardiyol Dern Ars. 2019;47(5):391-398. [CrossRef]
- 26. Katsaragakis S, Papadimitropoulos K, Antonakis P, Strergiopoulos S, Konstadoulakis MM, Androulakis G. Comparison of Acute Physiology and Chronic Health Evaluation II (Apache II) and simplified Acute Physiology Score II (SAPS II) scoring systems in a single Greek intensive care unit. Crit Care Med. 2000;28(2): 426-432. [CrossRef]
- 27. Moreno R, Miranda DR, Fidler V, van Schilfgaarde R. Evaluation of two outcome prediction models on an independent database. Crit Care Med. 1998;26(1):50-61. [CrossRef]
- 28. Antman EM, Cohen M, Bernink PJLM, et al. The TIMI risk score for unstable angina/non–ST elevation MI: a method for prognostication and therapeutic decision making. JAMA. 2000;284(7): 835-842. [CrossRef]
- 29. Granger CB, Goldberg RJ, Dabbous O, et al. Predictors of hospital mortality in the Global Registry of Acute Coronary Events. Arch Intern Med. 2003;163(19):2345-2353. [CrossRef]
APA | Kahraman F, Ersoy İ, Yilmaz A, ATICI A, TEKİN A, Acar B, Kaya Ç, Kara F, Kurt F, Avci Demir F, cerik i, yılmaz i, Adali M, Yeni M, Tascanov M, Yenerçağ M, SAHIN M, DUZ R, GÜLAŞTI s, ÖMÜR S, Topuz Ş, Hidayet Ş, Kaçmaz Y, AYGÜL N (2023). Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. , 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
Chicago | Kahraman Fatih,Ersoy İbrahim,Yilmaz Ahmet Seyda,ATICI Adem,TEKİN Alpin Mert,Acar Burak,Kaya Çağlar,Kara Faruk,Kurt Feyza,Avci Demir Fulya,cerik idris bugra,yılmaz ishak,Adali Mehmet Koray,Yeni Mehtap,Tascanov Mustafa Begenc,Yenerçağ Mustafa,SAHIN Mursel,DUZ Ramazan,GÜLAŞTI sevil,ÖMÜR Sefa Erdi,Topuz Şahin,Hidayet Şıho,Kaçmaz Yücel,AYGÜL NAZIF Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. (2023): 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
MLA | Kahraman Fatih,Ersoy İbrahim,Yilmaz Ahmet Seyda,ATICI Adem,TEKİN Alpin Mert,Acar Burak,Kaya Çağlar,Kara Faruk,Kurt Feyza,Avci Demir Fulya,cerik idris bugra,yılmaz ishak,Adali Mehmet Koray,Yeni Mehtap,Tascanov Mustafa Begenc,Yenerçağ Mustafa,SAHIN Mursel,DUZ Ramazan,GÜLAŞTI sevil,ÖMÜR Sefa Erdi,Topuz Şahin,Hidayet Şıho,Kaçmaz Yücel,AYGÜL NAZIF Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. , 2023, ss.258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
AMA | Kahraman F,Ersoy İ,Yilmaz A,ATICI A,TEKİN A,Acar B,Kaya Ç,Kara F,Kurt F,Avci Demir F,cerik i,yılmaz i,Adali M,Yeni M,Tascanov M,Yenerçağ M,SAHIN M,DUZ R,GÜLAŞTI s,ÖMÜR S,Topuz Ş,Hidayet Ş,Kaçmaz Y,AYGÜL N Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. . 2023; 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
Vancouver | Kahraman F,Ersoy İ,Yilmaz A,ATICI A,TEKİN A,Acar B,Kaya Ç,Kara F,Kurt F,Avci Demir F,cerik i,yılmaz i,Adali M,Yeni M,Tascanov M,Yenerçağ M,SAHIN M,DUZ R,GÜLAŞTI s,ÖMÜR S,Topuz Ş,Hidayet Ş,Kaçmaz Y,AYGÜL N Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. . 2023; 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
IEEE | Kahraman F,Ersoy İ,Yilmaz A,ATICI A,TEKİN A,Acar B,Kaya Ç,Kara F,Kurt F,Avci Demir F,cerik i,yılmaz i,Adali M,Yeni M,Tascanov M,Yenerçağ M,SAHIN M,DUZ R,GÜLAŞTI s,ÖMÜR S,Topuz Ş,Hidayet Ş,Kaçmaz Y,AYGÜL N "Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey." , ss.258 - 265, 2023. 10.14744/AnatolJCardiol.2022.2824 |
ISNAD | Kahraman, Fatih vd. "Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey". (2023), 258-265. https://doi.org/10.14744/AnatolJCardiol.2022.2824 |
APA | Kahraman F, Ersoy İ, Yilmaz A, ATICI A, TEKİN A, Acar B, Kaya Ç, Kara F, Kurt F, Avci Demir F, cerik i, yılmaz i, Adali M, Yeni M, Tascanov M, Yenerçağ M, SAHIN M, DUZ R, GÜLAŞTI s, ÖMÜR S, Topuz Ş, Hidayet Ş, Kaçmaz Y, AYGÜL N (2023). Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. The Anatolian Journal of Cardiology, 27(5), 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
Chicago | Kahraman Fatih,Ersoy İbrahim,Yilmaz Ahmet Seyda,ATICI Adem,TEKİN Alpin Mert,Acar Burak,Kaya Çağlar,Kara Faruk,Kurt Feyza,Avci Demir Fulya,cerik idris bugra,yılmaz ishak,Adali Mehmet Koray,Yeni Mehtap,Tascanov Mustafa Begenc,Yenerçağ Mustafa,SAHIN Mursel,DUZ Ramazan,GÜLAŞTI sevil,ÖMÜR Sefa Erdi,Topuz Şahin,Hidayet Şıho,Kaçmaz Yücel,AYGÜL NAZIF Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. The Anatolian Journal of Cardiology 27, no.5 (2023): 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
MLA | Kahraman Fatih,Ersoy İbrahim,Yilmaz Ahmet Seyda,ATICI Adem,TEKİN Alpin Mert,Acar Burak,Kaya Çağlar,Kara Faruk,Kurt Feyza,Avci Demir Fulya,cerik idris bugra,yılmaz ishak,Adali Mehmet Koray,Yeni Mehtap,Tascanov Mustafa Begenc,Yenerçağ Mustafa,SAHIN Mursel,DUZ Ramazan,GÜLAŞTI sevil,ÖMÜR Sefa Erdi,Topuz Şahin,Hidayet Şıho,Kaçmaz Yücel,AYGÜL NAZIF Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. The Anatolian Journal of Cardiology, vol.27, no.5, 2023, ss.258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
AMA | Kahraman F,Ersoy İ,Yilmaz A,ATICI A,TEKİN A,Acar B,Kaya Ç,Kara F,Kurt F,Avci Demir F,cerik i,yılmaz i,Adali M,Yeni M,Tascanov M,Yenerçağ M,SAHIN M,DUZ R,GÜLAŞTI s,ÖMÜR S,Topuz Ş,Hidayet Ş,Kaçmaz Y,AYGÜL N Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. The Anatolian Journal of Cardiology. 2023; 27(5): 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
Vancouver | Kahraman F,Ersoy İ,Yilmaz A,ATICI A,TEKİN A,Acar B,Kaya Ç,Kara F,Kurt F,Avci Demir F,cerik i,yılmaz i,Adali M,Yeni M,Tascanov M,Yenerçağ M,SAHIN M,DUZ R,GÜLAŞTI s,ÖMÜR S,Topuz Ş,Hidayet Ş,Kaçmaz Y,AYGÜL N Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey. The Anatolian Journal of Cardiology. 2023; 27(5): 258 - 265. 10.14744/AnatolJCardiol.2022.2824 |
IEEE | Kahraman F,Ersoy İ,Yilmaz A,ATICI A,TEKİN A,Acar B,Kaya Ç,Kara F,Kurt F,Avci Demir F,cerik i,yılmaz i,Adali M,Yeni M,Tascanov M,Yenerçağ M,SAHIN M,DUZ R,GÜLAŞTI s,ÖMÜR S,Topuz Ş,Hidayet Ş,Kaçmaz Y,AYGÜL N "Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey." The Anatolian Journal of Cardiology, 27, ss.258 - 265, 2023. 10.14744/AnatolJCardiol.2022.2824 |
ISNAD | Kahraman, Fatih vd. "Rationale, Design, and Methodology of the MORCOR-TURK Trial: Predictors of In-hospital MORtality in CORonary Care Patients in Turkey". The Anatolian Journal of Cardiology 27/5 (2023), 258-265. https://doi.org/10.14744/AnatolJCardiol.2022.2824 |