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 We evaluated patients with documented AMI and admitted to the CCU, from to , with a mean follow-up of 05 years to assess total mortality. Cox proportional regression models were developed to determine the independent association between Killip class and mortality, with sensitivity analyses based on type of AMI. Kimball 1 in involved bedside stratification. This stratification was based on the physical examination of patients with possible acute myocardial infarction AMI , and it was used to identify those at the highest risk of death and the potential benefits of specialized care in coronary care units CCUs. 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.
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The Killip classification is a system used in individuals with an acute myocardial infarction heart attack , taking into account physical examination and the development of heart failure in order to predict and stratify their risk of mortality. Individuals with a low Killip class are less likely to die within the first 30 days after their myocardial infarction than individuals with a high Killip class. The study was a case series with unblinded, unobjective outcomes, not adjusted for confounding factors, nor validated in an independent set of patients. The setting was the coronary care unit of a university hospital in the USA. Patients with a cardiac arrest prior to admission were excluded. The numbers below were accurate in