Application Values of Six Scoring Systems in the Prognosis of Stroke Patients
Objective: The present study aimed to evaluate the prognostic value of Acute Physiology and Chronic Health Evaluation (APACHE; II and III), Chinese Stroke Scale (CSS), National Institutes of Health Stroke Score (NIHSS), activities of daily living (ADL) (Barthel index, BI), and Glasgow Coma Scale (GC...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.01416/full |
| _version_ | 1818508916557873152 |
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| author | Qun-Xi Li Xiao-Jing Zhao Hai-Yan Fan Xiang-Nan Li Da-Li Wang Xiu-Jie Wang Jiang Zhang Rui-Ying Chen Li Zhang |
| author_facet | Qun-Xi Li Xiao-Jing Zhao Hai-Yan Fan Xiang-Nan Li Da-Li Wang Xiu-Jie Wang Jiang Zhang Rui-Ying Chen Li Zhang |
| author_sort | Qun-Xi Li |
| collection | DOAJ |
| description | Objective: The present study aimed to evaluate the prognostic value of Acute Physiology and Chronic Health Evaluation (APACHE; II and III), Chinese Stroke Scale (CSS), National Institutes of Health Stroke Score (NIHSS), activities of daily living (ADL) (Barthel index, BI), and Glasgow Coma Scale (GCS) scores for stroke patients.Methods: A total of 352 stroke patients were evaluated using APACHE II, APACHE III, CSS, NIHSS, ADL, and GCS scores within 24 h after admission. And these patients were consecutive admissions to the hospital. The endpoint was in-hospital death. The scores of these scales were compared between the survival group and death group, and the receiver operating characteristic (ROC) curves were drawn. The ability of each scoring system to predict the prognosis of patients was evaluated using the area under the ROC curve, and the areas under the curves (AUCs) of these six scales were compared.Results: The AUCs of the APACHE II, APACHE III, CSS, NIHSS, ADL, and GCS scores were 0.882, 0.867, 0.832, 0.859, 0.838, and 0.819, respectively.Conclusion: APACHE II, APACHE III, CSS, NIHSS, ADL, and GCS scores have good predictive values in the prognosis of stroke patients. APACHE II is superior among the other five scales. |
| first_indexed | 2024-12-10T22:38:28Z |
| format | Article |
| id | doaj.art-35d9804f3d354d68996316feeaeb300b |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-10T22:38:28Z |
| publishDate | 2020-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-35d9804f3d354d68996316feeaeb300b2022-12-22T01:30:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-01-011010.3389/fneur.2019.01416455812Application Values of Six Scoring Systems in the Prognosis of Stroke PatientsQun-Xi Li0Xiao-Jing Zhao1Hai-Yan Fan2Xiang-Nan Li3Da-Li Wang4Xiu-Jie Wang5Jiang Zhang6Rui-Ying Chen7Li Zhang8Department of Neurosurgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurosurgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaDepartment of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, ChinaObjective: The present study aimed to evaluate the prognostic value of Acute Physiology and Chronic Health Evaluation (APACHE; II and III), Chinese Stroke Scale (CSS), National Institutes of Health Stroke Score (NIHSS), activities of daily living (ADL) (Barthel index, BI), and Glasgow Coma Scale (GCS) scores for stroke patients.Methods: A total of 352 stroke patients were evaluated using APACHE II, APACHE III, CSS, NIHSS, ADL, and GCS scores within 24 h after admission. And these patients were consecutive admissions to the hospital. The endpoint was in-hospital death. The scores of these scales were compared between the survival group and death group, and the receiver operating characteristic (ROC) curves were drawn. The ability of each scoring system to predict the prognosis of patients was evaluated using the area under the ROC curve, and the areas under the curves (AUCs) of these six scales were compared.Results: The AUCs of the APACHE II, APACHE III, CSS, NIHSS, ADL, and GCS scores were 0.882, 0.867, 0.832, 0.859, 0.838, and 0.819, respectively.Conclusion: APACHE II, APACHE III, CSS, NIHSS, ADL, and GCS scores have good predictive values in the prognosis of stroke patients. APACHE II is superior among the other five scales.https://www.frontiersin.org/article/10.3389/fneur.2019.01416/fullAPACHECSSNIHSSADLGCSevaluate |
| spellingShingle | Qun-Xi Li Xiao-Jing Zhao Hai-Yan Fan Xiang-Nan Li Da-Li Wang Xiu-Jie Wang Jiang Zhang Rui-Ying Chen Li Zhang Application Values of Six Scoring Systems in the Prognosis of Stroke Patients Frontiers in Neurology APACHE CSS NIHSS ADL GCS evaluate |
| title | Application Values of Six Scoring Systems in the Prognosis of Stroke Patients |
| title_full | Application Values of Six Scoring Systems in the Prognosis of Stroke Patients |
| title_fullStr | Application Values of Six Scoring Systems in the Prognosis of Stroke Patients |
| title_full_unstemmed | Application Values of Six Scoring Systems in the Prognosis of Stroke Patients |
| title_short | Application Values of Six Scoring Systems in the Prognosis of Stroke Patients |
| title_sort | application values of six scoring systems in the prognosis of stroke patients |
| topic | APACHE CSS NIHSS ADL GCS evaluate |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.01416/full |
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