Prediction of early prognosis in intracerebral hematomas: STICH-2 prognosis score against Hemphill score

Autor: Mehmet Yasir Pektezel, Özlem Kayım Yıldız, Doğan Dinç Öge, Mehmet Akif Topcuoglu, Ethem Murat Arsava
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Türk Beyin Damar Hastalıkları Dergisi, Vol 25, Iss 2, Pp 106-112 (2019)
ISSN: 2146-9113
Popis: INTRODUCTION: We compared the prognostic accuracy of STICH prognostic score against Hemphill’s original ICH (oICH) score for predicting in-hospital mortality related to intracerebral hematoma (ICH). METHODS: We performed a retrospective single-center analysis of primary ICH patients admitted in our hospital (n=307). 276 patients were included in the study. For each patient, the STICH prognostic score and oICH were calculated. Survival data was acquired retrospectively and mortality rates associated with each score value was calculated for both methods. ROC curve AUC was used to compare the two scoring systems. RESULTS: For the oICH, the mean score was 1.4 for the whole group, 2.66±1.22 for the deceased and 1.27±1.12 for the survivors. For the STICH prognostic score, the mean score was 37.3±55 for the whole group, -21.23±64.64 for the deceased and 49.33±42.0 for the survivors. Their respective ROC curve AUC values were 0.791 (CI 95% between 0.735 and 0.839) for the oICH and 0.829 for the STICH prognostic score (CI 95% between 0.781 and 0.870). DISCUSSION AND CONCLUSION: Both Hemphill's and STICH-2 prognosis scoring systems have good accuracy in predicting in-hospital mortality related to ICH. The STICH score is mathematically more accurate then oICH, but the difference is negligible in terms of clinical yield.
Databáze: OpenAIRE