Performance of four ischemic stroke prognostic scores in a Brazilian population
| Autor: | Evelyn P. Pacheco, Renan Barros Domingues, Márcio J. C. Arruda, Cristiane Volcov, Israel P. Brasil, Gustavo W. Kuster, Lívia Almeida Dutra |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics 030204 cardiovascular system & hematology Severity of Illness Index escalas de prognóstico lcsh:RC321-571 Brain Ischemia 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Risk Factors medicine ischemic stroke Humans cardiovascular diseases Hospital Mortality Stroke lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Aged business.industry Stroke scale Modified rankin score Brasil Outcome measures Area under the curve THRIVE Middle Aged medicine.disease Prognosis acidente vascular cerebral isquêmico Neurology ROC Curve Ischemic stroke Emergency medicine Evaluated data Brazilian population Female Neurology (clinical) business prognostic scales 030217 neurology & neurosurgery Brazil NIHSS |
| Zdroj: | Arquivos de Neuro-Psiquiatria, Vol 74, Iss 2, Pp 133-137 (2016) Arquivos de Neuro-Psiquiatria v.74 n.2 2016 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO |
| ISSN: | 1678-4227 |
| Popis: | Objective Ischemic stroke (IS) prognostic scales may help clinicians in their clinical decisions. This study aimed to assess the performance of four IS prognostic scales in a Brazilian population. Method We evaluated data of IS patients admitted at Hospital Paulistano, a Joint Commission International certified primary stroke center. In-hospital mortality and modified Rankin score at discharge were defined as the outcome measures. The performance of National Institutes of Health Stroke Scale (NIHSS), Stroke Prognostication Using Age and NIHSS (SPAN-100), Acute Stroke Registry and Analysis of Lausanne (ASTRAL), and Totaled Health Risks in Vascular Events (THRIVE) were compared. Results Two hundred six patients with a mean ± SD age of 67.58 ± 15.5 years, being 55.3% male, were included. The four scales were significantly and independently associated functional outcome. Only THRIVE was associated with in-hospital mortality. With area under the curve THRIVE and NIHSS were the scales with better performance for functional outcome and THRIVE had the best performance for mortality. Conclusion THRIVE showed the best performance among the four scales, being the only associated with in-hospital mortality. |
| Databáze: | OpenAIRE |
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