The PLAN score can predict poor outcomes of intracerebral hemorrhage

被引:7
|
作者
Du, Wanliang [1 ]
Zhao, Xiangguo [1 ,2 ]
Wang, Yangzihan [1 ,3 ]
Zhang, Guitao [4 ]
Fang, Jiming [5 ]
Pan, Yuesong [4 ]
Liu, Liping [1 ]
Dong, Kehui [1 ]
Liu, Gaifen [1 ,4 ]
Wang, Yongjun [1 ,2 ,3 ,4 ,6 ]
机构
[1] Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing 100070, Peoples R China
[2] Beijing Key Lab Translat Med Cerebrovasc Dis, Beijing 100070, Peoples R China
[3] Beijing Inst Brain Disorders, Ctr Stroke, Beijing 100070, Peoples R China
[4] China Natl Clin Res Ctr Neurol Dis, Beijing 100070, Peoples R China
[5] Inst Clin Evaluat Sci, Toronto, ON, Canada
[6] Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing 100070, Peoples R China
基金
中国国家自然科学基金;
关键词
Intracerebral hemorrhage (ICH); acute ischemic stroke (AIS); outcomes; PLAN score; ISCHEMIC-STROKE; GRADING SCALE; MORTALITY; SEVERITY;
D O I
10.21037/atm.2019.11.88
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: For patients hospitalized after acute ischemic stroke (AiS), the preadmission comorbidities, level of consciousness (LOC), age and neurologic deficit (PLAN) score can help to identify those who may have a poor outcome. Implementing the PLAN score in other types of stroke may also have predictive value. Our study aimed to evaluate the PLAN score's prognostic accuracy in predicting 1-year mortality and severe disability after intracerebral hemorrhage (ICH). Methods: We analyzed data found in the China National Stroke Registry (CNSR) of 2,453 hospitalized patients in 132 urban Chinese hospitals, diagnosed with ICH from September 2007 to August 2008. The outcomes analysis included 30-day mortality, modified Rankin Scale score (mRS) of 5-6 at discharge, and 1-year mortality. Univariate and multivariate analysis was performed, and we calculated consistency statistics (C statistic). We evaluated the PLAN score performance using area under the curve (AUC) calculations. Results: We found that the 30-day mortality was 12.6%, the frequency of a mRS 5-6 at discharge was 20.6%, and 1-year mortality was 21.9%. The PLAN score had good predictive value in 30-day mortality (C statistic, 0.82), death or severe dependence at discharge (0.84), and 1-year mortality (0.82). Conclusions: In patients hospitalized for ICH, the 30-day mortality, death or severe dependence at discharge and 1-year mortality can be predicted by the PLAN score. Similarly to patients hospitalized after AIS, the PLAN score can help to identify patients likely to have poor outcomes following hospitalization for ICH.
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页数:9
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