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APACHE II联合NIHSS评分在急性脑出血患者短期预后评估中的应用

Evaluation of the Application of APACHE II Combined With NIHSS Score in the Short-Term Prognosis of Acute Cerebral Hemorrhage Patient.

作者信息

Zhao Xiao-Jing, Li Qun-Xi, Chang Li-Sha, Zhang Jiang, Wang Da-Li, Fan Hai-Yan, Zheng Fu-Xia, Wang Xiu-Jie

机构信息

Department of Neurology, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.

Department of Neurosurgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.

出版信息

Front Neurol. 2019 Jun 21;10:475. doi: 10.3389/fneur.2019.00475. eCollection 2019.

Abstract

This study aims to evaluate the effects of combining Acute Physiology and Chronic Health Disease Classification System II (APACHE II) scores and the NIHSS score for short-term prognosis of cerebral hemorrhage patients. APACHE II and NIHSS scores were respectively carried out for 189 acute cerebral hemorrhage patients who were admitted to the hospital for 24 h, and the area under ROC curve was used to measure the ability of these score systems to forecast the prognosis, in order to find the best dividing value. The discriminant analysis method should be used to carry out a comprehensive analysis of these two score methods and establish the mathematical model to provide a reasonable basis for accurately mastering these illness conditions, and its prognosis. The areas under the ROC curve of APACHE II and NIHSS scores in forecasting cerebral hemorrhage prognosis was 0.853 and 0.845, respectively, the dividing value was 15 and 17, respectively, and the forecasting accuracy was 77.2 and 79.9%, respectively; The forecasting accuracy of the combined discrimination model was 85.96%. APACHE II and NIHSS scores have good forecasting value to the short-term prognosis of acute cerebral hemorrhage patients, and the combination of these two can provide a higher forecasting value.

摘要

本研究旨在评估急性生理学与慢性健康状况评分系统II(APACHE II)评分与美国国立卫生研究院卒中量表(NIHSS)评分相结合对脑出血患者短期预后的影响。对189例入院24小时的急性脑出血患者分别进行APACHE II评分和NIHSS评分,并采用ROC曲线下面积来衡量这些评分系统预测预后的能力,以找出最佳分界值。应采用判别分析方法对这两种评分方法进行综合分析,并建立数学模型,为准确掌握这些病情及其预后提供合理依据。APACHE II评分和NIHSS评分预测脑出血预后的ROC曲线下面积分别为0.853和0.845,分界值分别为15和17,预测准确率分别为77.2%和79.9%;联合判别模型的预测准确率为85.96%。APACHE II评分和NIHSS评分对急性脑出血患者的短期预后具有良好的预测价值,两者结合可提供更高的预测价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/023b/6598469/65511139310c/fneur-10-00475-g0001.jpg

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