Department of Medicine, Norwich Medical School, Norwich, Norfolk, United Kingdom.
Stroke. 2013 Jul;44(7):2010-2. doi: 10.1161/STROKEAHA.113.001148. Epub 2013 Jun 18.
An accurate prognosis is useful for patients, family, and service providers after acute stroke.
We validated the Stroke subtype, Oxfordshire Community Stroke Project Classification, Age, and prestroke Rankin stroke score in predicting inpatient and 7-day mortality using data from 8 National Health Service hospital trusts in the Anglia Stroke and Heart Clinical Network between September 2008 and April 2011.
A total of 3547 stroke patients (ischemic, 92%) were included. An incremental increase of inpatient and 7-day mortality was observed with increase in Stroke subtype, Oxfordshire Community Stroke Project Classification, Age, and prestroke Rankin stroke score. Using a cut-off of ≥3, the area under the receiver operator curves values for inpatient and 7-day mortality were 0.80 and 0.82, respectively.
A simple score based on 4 easily obtainable variables at the point of care may potentially help predict early stroke mortality.
准确的预后对急性脑卒中患者、家属和服务提供者都很有用。
我们使用 2008 年 9 月至 2011 年 4 月期间，Anglia Stroke and Heart Clinical Network 下属的 8 家国民保健服务医院信托的数据，验证了卒中亚型、牛津郡社区卒中项目分类、年龄和卒中前 Rankin 评分在预测住院和 7 天死亡率中的作用。
共纳入 3547 例卒中患者（缺血性卒中占 92%）。卒中亚型、牛津郡社区卒中项目分类、年龄和卒中前 Rankin 评分的增加，与住院和 7 天死亡率的增加呈正相关。使用≥3 的截断值，住院和 7 天死亡率的受试者工作特征曲线下面积值分别为 0.80 和 0.82。
基于发病时 4 个易于获得的变量的简单评分，可能有助于预测早期卒中死亡率。
