Nghiên cứu ứng dụng thang điểm Essen trong tiên lượng bệnh nhân chảy máu não

Abstract

Objective: To evaluate the Essen ICH score for prediction of the outcome (BI) in patients after 100 day with spontaneous intracerebral haemorrhage. Subject and method: A descriptive and progressive research. The study described 120 patients with spontaneous intracerebral haemorrhage at Hue Central Hospital from 01/2019 to 01/2020. The patients were assessed on the Essen ICH (include: Age, NIHSS, NIHSS LOC) and other factor on 24 hours onset and after follow up of 100 days. Statistical analysis was carried out with the program package SPSS version 20.0. Logistic was used to determination of independent factor and score value was determined by ROC curve. Result: Among the 120 patients, median age was 64.32 ± 13.625 years, NIHSS was 15.17± 10.793, 43.3% patients with NIHSS LOC was 0. Essen ICH = 0 about 93.8% patients complete recovery and with Essen ICH ≥ 7 had 100% death. The Essen ICH score showed a high prognostic accuracy for adverse outcomes and death. For prediction of adverse outcomes on the Barthel index after 100 days, the Essen ICH score was superior to the ICH and mICH (AUC: Essen ICH: 0.934 (95%CI: 0.893 - 0.975); ICH: 0.882 (95% CI: 0.823 - 0.942); mICH: 0.896 (95% CI: 0.842 - 0.951). Conclusion: The Essen ICH score provides an easy way to use scale for outcome prediction following ICH. Its high positive predictive values for adverse outcomes and easy applicability render it useful for individual prognostic indications or the design of clinical studies.