Assessment of Intracerebral Hemorrhage Index on the Prognosis of Acute Cerebral Hemorrhage
Cheng Tao
Yang Liu
Guo Geng
Chen Xiaofei
Wang Jianhong
Hu Qiong
Zhang Xuan
Abstract：Objective To investigate the clinical value of intracerebral hemorrhage(ICH)index (ICHI)on the prognosis of acute cere-bral hemorrhage.Methods We col ected a total of 780 in patients with acute cerebral hemorrhage from 2007 January to 2011 De-cember in Taiyuan City Central Hospital and divided these patients into survival group (n=590)and death group (n=190,in hos-pital mortality).Basic clinical data of these patients were recorded in,including age,gender,blood pressure (BP), serum glucose (Glu), alanine aminstransferase (ALT), high density lipoprotein cholesterol (HDL), blood cel analysis, and Glasgow coma scale (GCS) scores etc.We analyzed the evaluation value of each index on the prognosis of cerebral hemorrhage,and evaluated the contribution of each index on hospital mortality of cerebral hemorrhage.Results There was significant differences in BP,Glu,ALT,HDL,white blood cel (WBC)and other basic data between two groups(P<0.05).Then we established the ICHI formula [ICHI= age (years)/10 +Glu (mmol/L)+WBC count (109/L) GCS scores].We draw the receiver operating characteristic (ROC)curve,to assess the predic-tive value of ICHI.Results showed that the ROC area under the curve (AURC )was 0.797 (95% confidence interval:0.762 to 0.832,P<0.001).The optimum ICHI value on mortality was 18,and the sensitivity on mortality,the specificity on mortality,and the Youden index (Youden’s index)respectively are 0.637,0.800 and 0.437.And when ICHI 18 to 27 (45.56% mortality)and ICHI more than 27 (mortality 62.86%),the hospitalization mortality increased obviously when compared to the overal mortality rate (24.39%). Conclusion The prognosis of patients with cerebral hemorrhage came to worse with the enhancement of emergency responses and high risk scores.ICHI is a simple prediction model which can be used for the evaluation of the prognosis in patients with cerebral hem-orrhage.
Keywords：acute cerebral hemorrhageintracerebral hemorrhage indexprediction model
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 2747-2750 )