Intermediate Risk (TIMI Score 3-4)
AUC SCORE:
08
INDICATION:
10
UA/NSTEMI and intermediate-risk features (e.g., TIMI score 3–4) for short-term risk of death or nonfatal MI
Revascularization of the presumed culprit artery
AUC Definitions
Appropriate |
Inappropriate |
Uncertain |
Clinical Judgement
Appropriateness criteria are designed to examine the use of diagnostic and therapeutic procedures to support efficient use of medical resources during the pursuit of quality medical care. The primary objective of the appropriate use criteria (AUC) for coronary revascularization is to improve physician decision making and patient education regarding expected benefits from revascularization and to guide future research. The 2012 AUC represent a practical standard upon which to assess and better understand variability in the use of cardiovascular procedures. Appropriate use criteria are intended to assist patients and clinicians, but are not intended to diminish the acknowledged difficulty or uncertainty of clinical decision making and cannot act as substitutes for sound clinical judgment and practice experience.
What are Indications?
The term indication is used interchangeably with clinical scenario in the document for brevity and does not imply that a procedure should necessarily be performed. Some patients seen in clinical practice are not represented in these appropriate use criteria or have additional extenuating features that would alter the appropriateness of treatment as compared with the clinical scenarios presented.