Feng Changmei, Wu Chuyue, Huang Yu, Zhang Lina, He Lei, Wang Qi, Du Cuiping
Department of Neurology, Chongqing University Three Gorges Hospital, Chongqing, China.
School of Medicine, Chongqing University, Chongqing, China.
Med Sci Monit. 2025 Sep 6;31:e947444. doi: 10.12659/MSM.947444.
BACKGROUND Multiple factors impact the prognosis of intracerebral hemorrhage (ICH). This study aimed to evaluate prognosis at 90 days after ICH in 561 patients using the numerical rating scale (NRS), the Braden scale, the Morse fall risk scale (MFS), and the enhanced modified early warning (MEW) scale. MATERIAL AND METHODS A retrospective study was performed among 561 patients with ICH diagnosed in our hospital. The primary outcome was the 90-day prognostic status, classified as poor or good. Disparities in NRS, Braden scale, MFS, and enhanced MEW scores were examined between the poor and good prognosis groups in ICH patients. RESULTS Among the 561 patients successfully followed up, 258 cases (46.0%) were classified as having a poor prognosis. The Braden scale was significantly higher in the good prognosis group than the poor prognosis group at 90 days after onset (P<0.001). The MFS and the MEW were significantly lower in the good prognosis group than the poor prognosis group at 90 days after onset (P<0.001), while NRS showed no differences (P>0.05). Poor prognosis at the 90-day mark was found to be independently associated with the Braden scale (P=0.012, OR=0.849, 95% CI [0.748, 0.965]), the MFS scale (P=0.001, OR=1.148, 95% CI [1.070, 1.232]), and the enhanced modified early warning (MEW) score (P=0.001, OR=1.093, 95% CI [1.064, 1.123]). CONCLUSIONS The early admission Braden scale, MFS and the enhanced MEW score exhibited independent associations with poor prognoses at 90 days after ICH onset.
背景 多种因素影响脑出血（ICH）的预后。本研究旨在使用数字评定量表（NRS）、Braden量表、Morse跌倒风险量表（MFS）和改良早期预警（MEW）量表评估561例患者脑出血后90天的预后。材料与方法 对我院确诊的561例脑出血患者进行回顾性研究。主要结局是90天的预后状况，分为差或好。比较脑出血患者预后差和预后好的两组在NRS、Braden量表、MFS和改良早期预警评分上的差异。结果 在成功随访的561例患者中，258例（46.0%）预后较差。发病后90天，预后好的组Braden量表评分显著高于预后差的组（P<0.001）。发病后90天，预后好的组MFS和MEW评分显著低于预后差的组（P<0.001），而NRS无差异（P>0.05）。发现90天预后差与Braden量表（P=0.012，OR=0.849，95%CI[0.748，0.965]）、MFS量表（P=0.001，OR=1.148，95%CI[1.070，1.232]）和改良早期预警（MEW）评分（P=0.001，OR=1.093，95%CI[1.064，1.123]）独立相关。结论 入院早期的Braden量表、MFS和改良早期预警评分与脑出血发病后90天预后差独立相关。
