VALIDATION AND COMPARISON OF MODELS PREDICTING SURVIVAL FOLLOWING INTRACEREBRAL HEMORRHAGE

被引:114
作者
TUHRIM, S
HOROWITZ, DR
SACHER, M
GODBOLD, JH
机构
[1] MT SINAI SCH MED,DEPT NEUROL,NEW YORK,NY
[2] MT SINAI SCH MED,DEPT RADIOL,NEW YORK,NY
[3] MT SINAI SCH MED,DEPT COMMUNITY MED,NEW YORK,NY
关键词
HEMORRHAGE; INTRACEREBRAL; LOGISTIC REGRESSION; PROGNOSIS; STROKE; OUTCOMES RESEARCH; PATIENT OUTCOME ASSESSMENT; NEUROLOGIC EMERGENCIES; CRITICAL ILLNESS;
D O I
10.1097/00003246-199505000-00026
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To compare the performance of two previously reported logistic regression models using data independent from those data used to derive the models. Design: Prospective. Setting Acute stroke unit of a tertiary care hospital. Patients: One hundred twenty-nine patients with supratentorial intracerebral hemorrhage. Measurements and Main Results: Model 1 contains the initial Glasgow Coma Scale score, hemorrhage size, and pulse pressure. The more complex model 2 includes, in addition to those three variables, the presence or absence of intraventricular hemorrhage and a term representing the interaction of intraventricular hemorrhage and Glasgow Coma Scale score. The areas under the receiver operating characteristic curves generated for each model were statistically indistinguishable. Conclusions: Model 1 predicts 30-day patient status as well as the more complex model 2. Model 1 provides a valid, easy-to-use means of categorizing supratentorial intracerebral hemorrhage patients in terms of their probability of survival.
引用
收藏
页码:950 / 954
页数:5
相关论文
共 30 条
[1]   EFFECTS OF PUBLIC AND PROFESSIONAL-EDUCATION ON REDUCING THE DELAY IN PRESENTATION AND REFERRAL OF STROKE PATIENTS [J].
ALBERTS, MJ ;
PERRY, A ;
DAWSON, DV ;
BERTELS, C .
STROKE, 1992, 23 (03) :352-356
[2]   A PROSPECTIVE-STUDY OF ACUTE CEREBROVASCULAR-DISEASE IN THE COMMUNITY - THE OXFORDSHIRE COMMUNITY STROKE PROJECT 1981-86 .2. INCIDENCE, CASE FATALITY RATES AND OVERALL OUTCOME AT ONE YEAR OF CEREBRAL INFARCTION, PRIMARY INTRACEREBRAL AND SUBARACHNOID HEMORRHAGE [J].
BAMFORD, J ;
SANDERCOCK, P ;
DENNIS, M ;
BURN, J ;
WARLOW, C .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (01) :16-22
[3]   THE RISK OF SUBARACHNOID AND INTRACEREBRAL HEMORRHAGES IN BLACKS AS COMPARED WITH WHITES [J].
BRODERICK, JP ;
BROTT, T ;
TOMSICK, T ;
HUSTER, G ;
MILLER, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1992, 326 (11) :733-736
[4]  
BRODERICK JP, 1993, STROKE, V24, P1761
[5]   INTRACEREBRAL HEMORRHAGE MORE THAN TWICE AS COMMON AS SUBARACHNOID HEMORRHAGE [J].
BRODERICK, JP ;
BROTT, T ;
TOMSICK, T ;
MILLER, R ;
HUSTER, G .
JOURNAL OF NEUROSURGERY, 1993, 78 (02) :188-191
[6]   INCIDENCE RATES OF STROKE IN THE EIGHTIES - THE END OF THE DECLINE IN STROKE [J].
BRODERICK, JP ;
PHILLIPS, SJ ;
WHISNANT, JP ;
OFALLON, WM ;
BERGSTRALH, EJ .
STROKE, 1989, 20 (05) :577-582
[7]   VOLUME OF INTRACEREBRAL HEMORRHAGE - A POWERFUL AND EASY-TO-USE PREDICTOR OF 30-DAY MORTALITY [J].
BRODERICK, JP ;
BROTT, TG ;
DULDNER, JE ;
TOMSICK, T ;
HUSTER, G .
STROKE, 1993, 24 (07) :987-993
[8]   Some experimental and clinical observations concerning states of increased intracranial tension. The Mutter Lecture for 1901. [J].
Cushing, H .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1902, 124 :375-400
[9]   DEATH AND FUNCTIONAL OUTCOME AFTER SPONTANEOUS INTRACEREBRAL HEMORRHAGE - A PROSPECTIVE-STUDY OF 166 CASES USING MULTIVARIATE-ANALYSIS [J].
DAVERAT, P ;
CASTEL, JP ;
DARTIGUES, JF ;
ORGOGOZO, JM .
STROKE, 1991, 22 (01) :1-6
[10]   SPONTANEOUS INTRACEREBRAL HEMORRHAGE - AN ANALYSIS OF FACTORS AFFECTING PROGNOSIS [J].
DIXON, AA ;
HOLNESS, RO ;
HOWES, WJ ;
GARNER, JB .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1985, 12 (03) :267-271