Validation of the Killip-Kimball Classification and Late Mortality after Acute Myocardial Infarction

Background: The classification or index of heart failure severity in patients with acute myocardial infarction (AMI) was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units (CCU) during the decade of 60. Objective: To validate the risk stratification of Killip classification in the long-term mortality and compare the prognostic value in patients with non-ST-segment elevation MI (NSTEMI) relative to patients with ST-segment elevation MI (STEMI), in the era of reperfusion and modern antithrombotic therapies. Methods: We evaluated 1906 patients with documented AMI and admitted to the CCU, from 1995 to 2011, with a mean follow-up of 05 years to assess total mortality. Kaplan-Meier (KM) curves were developed for comparison between survival distributions according to Killip class and NSTEMI versus STEMI. Cox proportional regression models were developed to determine the independent association between Killip class and mortality, with sensitivity analyses based on type of AMI. Results: The proportions of deaths and the KM survival distributions were significantly different across Killip class >1 (p <0.001) and with a similar pattern between patients with NSTEMI and STEMI. Cox models identified the Killip classification as a significant, sustained, consistent predictor and independent of relevant covariables (Wald χ2 16.5 [p = 0.001], NSTEMI) and (Wald χ2 11.9 [p = 0.008], STEMI). Conclusion: The Killip and Kimball classification performs relevant prognostic role in mortality at mean follow-up of 05 years post-AMI, with a similar pattern between NSTEMI and STEMI patients.

Prototype-based classification and clustering

Magdeburg, Univ., Fak. für Informatik, Habil.-Schr., 2006

Visual analysis, clustering, and classification of contrast-enhanced tumor perfusion MRI data

Magdeburg, Univ., Fak. für Inf., Diss., 2014

On the structure and development of the vertebral column of Amia [by] O. P. Hay.

v.1:no.1(1895)

A tentative classification of the palearctic unionids.

v.24:no.11(1940)

A geographic classification of Neotropical mammals.

v.36:no.6(1958)

On the classification of the histerid beetles, by Rupert L. Wenzel.

v.28:no.2(1944)

Evolution and classification of the Osteostraci. The exoskeleton of early Osteostraci. / Robert H. Denison --

v.11:no.3-4(1951)

Revised classification of Pteraspididae with description of new forms from Wyoming / [by] Robert H. Denison --

v.20:no.1(1970)

Investigation of the classification of the rodent genus Eumys from the Middle Oligocene of the Big Badlands of South Dakota using multivariate statistical analysis / Sue Vilhauer Rosser --.

v.39:no.3(1978)

Feeding ecology of Pterodoras granulosus (Siluriformes, Doradidae) in the Lajeado Reservoir, Tocantins, Brazil

The diet and feeding habits of armado catfish, Pterodoras granulosus (Valenciennes, 1821), were studied in the Lajeado Reservoir, Tocantins, Brazil, and the mouth of its tributaries. Stomach contents of 327 specimens were analyzed by the percentage composition and volumetric methods. The feeding of armado on a wide variety of foods, including both animal and plant items, leads to its classification as a euriphagic species with herbivorous tendency. However, it should be noted that armado showed a strong ontogenetic diet shift, with the gradual replacement of detritus and sediment by plant items, especially terrestrial ones. The environmental use pattern of P. granulosus corroborates the ontogenetic shift observed in its diet. Small fish predominated mainly in the benthic region and detritus and sediment represented an important resource, whereas large fish fed mainly on terrestrial plants, as they explore open water sites and the surface of the water column.

Current classification and family-group names in Staphyliniformia (Coleoptera) / Alfred F. Newton, Jr., Margaret K. Thayer.

n.s. no.67(1992)

The family Diadectidae and its bearing on the classification of reptiles / Everett Claire Olson --

v.11:no.1(1947)