Rahmani Farzad, Rikhtegar Reza, Ala Alireza, Farkhad-Rasooli Aysan, Ebrahimi-Bakhtavar Haniyeh
Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.
Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Neurol. 2018 Jan 5;17(1):47-52.
Different criteria have been proposed to determine the mortality rate of primary intracerebral hemorrhage (ICH). This study aimed to evaluate ICH and Modified New ICH scores in predicting 30-day mortality in patients with primary ICH. In this prospective cohort study, 107 patients diagnosed with primary ICH were enrolled at an interval of six months (October 2015-March 2016). They were evaluated using Modified New ICH and ICH scores. The Modified New ICH score was different from the New ICH score since the National Institute of Health Stroke Scale (NIHSS) variables were replaced by Modified Rankin Scale (MRS) in the modified score. A total of 61 patients (57%) died, and 46 (43%) survived during the 30-day hospitalization. ICH ≥ 2 and Modified New ICH ≥ 3 scores predicted 30-day mortality rate in patients with the sensitivity and specificity rates of 87 and 63 percent, and 88 and 53 percent, respectively. The current study showed that both ICH and Modified New ICH scores were almost equally effective in determining the mortality rate in patients with primary ICH, and both criteria had acceptable value in determining the mortality rate of patients. Therefore, routine assessment of ICH and Modified New ICH scores in patients with ICH in emergency wards is recommended.
人们已经提出了不同的标准来确定原发性脑出血（ICH）的死亡率。本研究旨在评估ICH评分和改良的新ICH评分对原发性ICH患者30天死亡率的预测价值。在这项前瞻性队列研究中，于2015年10月至2016年3月期间，每隔六个月招募107例诊断为原发性ICH的患者。使用改良的新ICH评分和ICH评分对他们进行评估。改良的新ICH评分与新ICH评分不同，因为在改良评分中，国立卫生研究院卒中量表（NIHSS）变量被改良Rankin量表（MRS）所取代。在30天的住院期间，共有61例患者（57%）死亡，46例（43%）存活。ICH≥2分和改良的新ICH≥3分预测原发性ICH患者30天死亡率，敏感度和特异度分别为87%和63%，以及88%和53%。本研究表明，ICH评分和改良的新ICH评分在确定原发性ICH患者的死亡率方面几乎同样有效，并且这两个标准在确定患者死亡率方面都具有可接受的价值。因此，建议在急诊病房对ICH患者常规评估ICH评分和改良的新ICH评分。
