IJCS | Volume 33, Nº4, July and August 2020

383 Figure 1 - Algorithm of the selection of the study population and development of the hematological scoring system. KILLIP score III and IV (kappa coefficient = 0.141; 61.5% overall agreement) (Table 5) and a score < 26 showed an agreement of 81% with TIMI Risk score 0 to 3 (kappa coefficient = 0.162; 50.7% overall agreement) (Table 6). Discussion NRBCs, MPV, and NLR are independent predictors of all-cause mortality in AMI patients. 3 These hematological parameters are directly associated with severity of systemic inflammation and hypoxemia, and these two mechanisms are directly implicated in the pathophysiology of organic dysfunction. An intense inflammatory response is activated in the early step of cardiac ischemic injury. However, other conditions including sepsis and shock may occur during hospitalization. In this study, we propose a scoring system with these hematological parameters Monteiro Júnior et al. Hematological scoring system in AMI Int J Cardiovasc Sci. 2020; 33(4):380-388 Original Article