Comparison of Conventional Intensive Care Scoring Systems and Prognostic Scores Specific for Intracerebral Hemorrhage in Predicting One-Year Mortality
| Autor: | Hande G. Aytuluk, Nalan Demir, Sehnaz Basaran, N Ozgur Dogan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Critical Care Simplified acute physiology score Critical Care and Intensive Care Medicine Logistic regression Cerebral hemorrhage law.invention 03 medical and health sciences 0302 clinical medicine law Intensive care medicine Humans cardiovascular diseases Patient outcome assessment Hospital Mortality Simplified Acute Physiology Score Mortality APACHE Retrospective Studies Intracerebral hemorrhage business.industry Organ dysfunction 030208 emergency & critical care medicine Emergency department medicine.disease Prognosis Intensive care unit nervous system diseases Stroke Intensive Care Units Intraventricular hemorrhage ROC Curve Emergency medicine Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Original Work |
| Zdroj: | Neurocritical Care |
| ISSN: | 1556-0961 1541-6933 |
| Popis: | Background Specific prognostic models for intracerebral hemorrhage (ICH) have short and simple features, whereas intensive care unit (ICU) severity scales include more complicated parameters. Even though newly developed ICU severity scales have disease-specific properties, they still lack radiologic parameters, which is crucial for ICH. Aims To compare the performance of the Simplified Acute Physiology Score (SAPS) III, Acute Physiology and Chronic Health Evaluation (APACHE) IV, Logistic Organ Dysfunction Score (LODS), ICH, max-ICH, ICH functional outcome score (ICH-FOS), and Essen-ICH for prediction of in-hospital and one-year mortality of patients with ICH. Methods A single-center analysis of 137 patients with ICH was conducted over 5 years. The performance of scoring systems was evaluated with receiver operating characteristic analysis. The independent predictors of one-year mortality were investigated with a multivariate logistic regression analysis. The SAPS-III score was calculated both in the emergency department (ED) and ICU. Results Among the independent variables, the need for mechanical ventilation, hematoma volume, the presence of intraventricular hemorrhage, and hematoma originating from both lobar and nonlobar regions were found as the strongest predictor of one-year mortality. For in-hospital mortality, the discriminative power of SAPS-II, APACHE-IV, and LODS was excellent, and for SAPS-III-ICU and SAPS-III-ED, it was good. For one-year mortality, the discriminative power of SAPS-II, APACHE-IV, LODS, and SAPS-III-ICU was good, and for SAPS-III-ED, Essen-ICH, ICH, max-ICH, and ICH-FOS, it was fair. Conclusions Although all three ICH-specific prognostic scales performed satisfactory results for predicting one-year mortality, the common intensive care severity scoring showed better performance. SAPS-III scores may be recommended for use in EDs after proper customization. Electronic supplementary material The online version of this article (10.1007/s12028-020-00987-3) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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