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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Application of the FOUR Score in Intracerebral Hemorrhage Risk Analysis
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Application of the FOUR Score in Intracerebral Hemorrhage Risk Analysis

机译：四分在脑出血风险分析中的应用

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Background: The Full Outline of Unresponsiveness (FOUR) Score is a validated scale describing the essentials of a coma examination, including motor response, eye opening and eye movements, brainstem reflexes, and respiratory pattern. We incorporated the FOUR Score into the existing ICH Score and evaluated its accuracy of risk assessment in spontaneous intracerebral hemorrhage (ICH). Materials and Methods: Consecutive patients admitted to our institution from 2009 to 2012 with spontaneous ICH were reviewed. The ICH Score was calculated using patient age, hemorrhage location, hemorrhage volume, evidence of intraventricular extension, and Glasgow Coma Scale (GCS). The FOUR Score was then incorporated into the ICH Score as a substitute for the GCS (ICH Score(FS)). The ability of the 2 scores to predict mortality at 1 month was then compared. Results: In total, 274 patients met the inclusion criteria. The median age was 73 years (interquartile range 60-82) and 138 (50.4%) were male. Overall mortality at 1 month was 28.8% (n = 79). The area under the receiver operating characteristic curve was .91 for the ICH Score and.89 for the ICH ScoreFS. For ICH Scores of 1, 2, 3, 4, and 5, 1-month mortality was 4.2%, 29.9%, 62.5%, 95.0%, and 100%. In the ICH ScoreFS model, mortality was 10.7%, 26.5%, 64.5%, 88.9%, and 100% for scores of 1, 2, 3, 4, and 5, respectively. Conclusions: The ICH Score and the ICH ScoreFS predict 1-month mortality with comparable accuracy. As the FOUR Score provides additional clinical information regarding patient status, it may be a reasonable substitute for the GCS into the ICH Score.
机译：背景：无响应性（四）分数的完整轮廓是描述昏迷检查的必需品的验证规模，包括电机响应，眼睛开口和眼睛运动，脑干反应和呼吸模式。我们将四个得分纳入现有的ICH评分，并评估其在自发脑出血中风险评估的准确性（ICH）。材料和方法：综述了从2009年到2012年入院的连续患者，自发性ICH审查。使用患者年龄，出血地点，出血量，腔内延伸的证据，以及格拉斯哥昏迷（GCS）计算ICH评分。然后将这四个得分纳入ICH评分作为GCS的替代品（ICH评分（FS））。然后比较2分数预测1个月的死亡率的能力。结果：总共274名患者达到了纳入标准。中位年龄为73岁（第60-82号）和138名（50.4％）是男性。 1个月的总体死亡率为28.8％（n = 79）。在接收器下的区域，操作特征曲线为.91对于ICH评分和ICH评分。对于1,2,3,4和5，1个月的死亡率为4.2％，29.9％，62.5％，95.0％和100％。在ICH评分FS模型中，分别为10.7％，26.5％，64.5％，88.9％和100％，分别为1,2,3,4和5的分别。结论：ICH评分和ICH评分具有1个月的死亡率，具有可比的准确性。由于四个分数提供有关患者地位的额外临床信息，因此可以是GCS进入ICH评分的合理替代品。

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