Functional outcome prediction following intracerebral hemorrhage

被引:14
作者
Appelboom, Geoffrey [1 ,2 ]
Bruce, Samuel S. [1 ,2 ]
Han, James [1 ]
Piazza, Matthew [1 ]
Hwang, Brian [4 ]
Hickman, Zachary L. [1 ,2 ]
Zacharia, Brad E. [1 ,2 ]
Carpenter, Amanda [2 ,3 ]
Monahan, Aimee S. [2 ,3 ]
Vaughan, Kerry [1 ]
Badjatia, Neeraj [2 ,3 ]
Connolly, E. Sander [1 ,3 ]
机构
[1] Columbia Univ Coll Phys & Surg, Neurol Inst, Cerebrovasc Lab, New York, NY 10032 USA
[2] Columbia Univ Coll Phys & Surg, Neurol Inst, Dept Neurol Surg, New York, NY 10032 USA
[3] Columbia Univ Coll Phys & Surg, Neurol Intens Care Unit, New York, NY 10032 USA
[4] Johns Hopkins Univ, Dept Neurosurg, Baltimore, MD 21218 USA
关键词
Intracerebral hemorrhage; Functional outcome; ICH score; ACUTE STROKE TRIALS; MODIFIED RANKIN SCALE; ICH SCORE; PRACTICAL SCALE; ISCHEMIC-STROKE; GRADING SCALE; BARTHEL INDEX; MORTALITY; DISABILITY; COMMUNITY;
D O I
10.1016/j.jocn.2011.11.005
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The ICH score is a validated method of assessing the risk of mortality and morbidity after intracerebral hemorrhage (ICH). We sought to compare the ability of the ICH score to predict outcome assessed with three of the most widely used scales: the Barthel Index (BI), modified Rankin Scale (mRS), and Glasgow Outcome Score (GOS). All patients with ICH treated at our institution between February 2009 and March 2011 were followed-up at three months using the mRS. GOS, and BI. The ICH score was highly correlated with the three-month mRS (rho=0.59, p<0.001), BI (rho=-0.57, p<0.001) and GOS (rho=0.61, p<0.001). The ICH score also predicted dependency for each measure well, with areas under the curve falling between 0.826 and 0.833. Our results suggest that future clinical studies that use the ICH score to stratify patients may employ any of the three outcome scales and expect good discrimination of disability. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码:795 / 798
页数:4
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