中风与神经疾病杂志2016，Vol.33Issue(11)：1002-1005,4.
ESRS 和 SPI-Ⅱ评分对急性缺血性脑卒中患者复发风险的评估作用
Predictive Recurrence Value of ESRS and SPI-Ⅱ Score in Acute Ischemic Stroke
摘要
Abstract
Objective In this study ,we investigated the prognostic value of ESRS and SPI-Ⅱin patients with acute ischemic stroke ( AIS) .Methods In this prospective cohort study ,baseline data were collected from the patients who were hospitalized in the Neurology Department of Aerospace Central Hospital between December 2012 and June 2016 and fol-lowed-up for one year.ESRS and SPI-Ⅱscore were calculated from both patients and controls .After one year follow-up, clinical outcomes were collected from patients or their family members .The patients that had recurrence were cases while the rest without recurrence were served as control .ROC curves were determined for the ESRS and SPI-Ⅱrespectively and compared using MedCalc.Results A total of 760 patients with AIS finished the follow-up,in which showed 84(11.05%) recurrence,67(8.82%) deaths.The ESRS demonstrated adequate calibration and good discrimination in the patients with AIS (area under the ROC curve[AUC]=0.576(P<0.05,95%CI:0.540~0.611).This was comparable to the SPI-Ⅱ:[AUC]=0.583(P<0.05,95%CI:0.547~0.618).The two scoring systems did not show significant difference (P>0. 05).χ2 of Hosmer-Lemeshow were 3.391,5.797(P>0.05).Conclusion ESRS and SPI-Ⅱare equally able to stratify the recurrence risk of AIS in Chinese patients .关键词
缺血性脑卒中/复发/ESRS/SPI-IIKey words
Acute ischemic stroke/Recurrence/ESRS/SPI-Ⅱ分类
临床医学引用本文复制引用
焉双梅,洪渊,张欢,凌霞,杨旭..ESRS 和 SPI-Ⅱ评分对急性缺血性脑卒中患者复发风险的评估作用[J].中风与神经疾病杂志,2016,33(11):1002-1005,4.基金项目
首都卫生发展科研专项项目 （）
