神经损伤与功能重建2019，Vol.14Issue(8)：383-385,3.DOI:10.16780/j.cnki.sjssgncj.2019.08.002
SOAR量表和ASTRAL量表评分对急性缺血性卒中患者1年不良预后的预测功能评价
Comparison of the SOAR Score and ASTRAL Score in 1 Year Poor Prognosis in Patients with Acute Ischemic Stroke
高金颖 1胡蓉 2金迪 3张绿明 3赵静 3马瑞 3邱石3
作者信息
- 1. 航天中心医院(北京大学航天临床医学院)健康管理部 北京 100049
- 2. 首都医科大学基础医学院临床医学专业北京 100069
- 3. 航天中心医院(北京大学航天临床医学院) 神经内科 北京 100049
- 折叠
摘要
Abstract
Objective: To investigate the predictive value of SOAR and ASTRAL scores for one-year poor prognosis in patients with acute ischemic stroke (AIS). Methods: A total of 807 AIS patients were enrolled. Clinical baseline data were collected and scored with SOAR and ASTRAL scores. A prospective cohort follow-up study was performed for 1 year. The patient had a death or functional disability at 1 year [modified Rankin score (mRS) ≥3 points] as an adverse outcome event. The area under the receiver operating characteristic curve (AUC) was used to compare the predicted values of the two scales. Results: A total of 772 AIS patients' data were collected in the study. There were 196 (25.4% ) adverse outcomes at 1 year follow-up, including 68 deaths (8.8%). The AUR values for the 1-year adverse outcome of the AIS patients predicted by the SOAR and ASTRAL scales were 0.739, 0.860, respectively (both P＜0.001). Further comparisons were made between the two scales, the difference was statistically significant (P＜0.001). The 1 year mortality outcome of AIS patients was further analyzed by two scales. The AUC values were 0.755, 0.809 (both P＜0.001). Further comparison between the two groups was statistically significant (P＜0.001). Conclusion: The SOAR and ASTRAL scales can predict the 1-year adverse prognosis of AIS population. The ASTRAL scale is superior to SOAR scale in predicting 1-year adverse outcomes and death events in patients with AIS.关键词
急性缺血性卒中/不良预后/SOAR量表/ASTRAL量表Key words
acute ischemic stroke/poor prognosis/SOAR/ASTRAL分类
医药卫生引用本文复制引用
高金颖,胡蓉,金迪,张绿明,赵静,马瑞,邱石..SOAR量表和ASTRAL量表评分对急性缺血性卒中患者1年不良预后的预测功能评价[J].神经损伤与功能重建,2019,14(8):383-385,3.
