Lahoz C H, Guisasola L M, Salas-Puig X, Tuñón A, Mateos V, Vidal J A
Servicio de Neurologia, Hospital General de Asturias, Oviedo.
Rev Neurol. 1995 Sep-Oct;23(123):1087-90.
Our aim was to delimit prognostic factors in supratentorial stroke based on data obtained upon hospitalization. We studied two series of patients, the first being 150 with brain infarct and the second 135 having intracerebral haemorrhage. We analyzed: age, Glasgow and Canadian scales, glucose and urgence haemogram and the size of the lesion across its greatest diameter using computerized tomography (CT). Follow-up time was until death or one year after the stroke. Those who lived longer than one year after were subclassified according to the Rankin scale as < 3 and > or = 3. There was a significant difference between those who survived for less than one month and those surviving more than one year: their age (p < 0.01), average score on the scale (p < 0.001) and size of infarct (p < 0.05) or haematoma (p < 0.001). The Rankin subgroups < 3 and > or = 3 also differed significantly with regard to age. Noteworthy were the unfavourable data: Glasgow < 10 points and Canadian < 5 points, in infarcts > 6 cm and haematomas > 4 cm in diameter. We comment on other evolutionary variables which may influence prognostic assessment such as clinical deterioration or CT sensitivity of the infarct depending on the carry-out time.
我们的目标是根据住院时获得的数据来界定幕上卒中的预后因素。我们研究了两组患者，第一组是150例脑梗死患者，第二组是135例脑出血患者。我们分析了：年龄、格拉斯哥评分和加拿大神经功能缺损评分、血糖和急诊血常规，以及使用计算机断层扫描（CT）测量病灶最大直径的大小。随访时间直至死亡或卒中后一年。那些卒中后存活超过一年的患者根据改良Rankin量表分为<3分和≥3分。存活少于一个月的患者与存活超过一年的患者之间存在显著差异：他们的年龄（p<0.01）、量表平均得分（p<0.001）以及梗死灶大小（p<0.05）或血肿大小（p<0.001）。改良Rankin量表<3分和≥3分的亚组在年龄方面也存在显著差异。值得注意的是一些不利数据：格拉斯哥评分<10分、加拿大神经功能缺损评分<5分、梗死灶直径>6 cm以及血肿直径>4 cm。我们对其他可能影响预后评估的演变变量进行了评论，例如临床恶化情况或取决于检查时间的梗死灶CT敏感性。
