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| Predictive Value of Intracerebral Hemorrhage Score Combined with APACHE Ⅱ Score in the Prognosis of Spontaneous Cerebral Hemorrhage |
| JIANG Wen-tao, HUANG Jian-hua, ZHU Jia-shuang |
| Department of Emergency Critical Care Medicine, First People's Hospital of Bengbu, Anhui Province, 233000 |
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Abstract 【Objective】 To explore the predictive value of intracerebral hemorrhage score combined with acute physiology and chronic health score Ⅱ (APACHE Ⅱ) in predicting the prognosis of patients with spontaneous intracerebral hemorrhage (SICH). 【Methods】 Forty-two patients with SICH admitted from November 2015 to December 2018 were selected as subjects. The cerebral hemorrhage score was evaluated at admission, APACHE Ⅱ score was evaluated within 24 hours of admission, and the modified Rankin scale (MRS) score was evaluated at 1 month of onset,poor prognosis was defined as MRS ≥ 4. The prognostic value of cerebral hemorrhage score and APACHE Ⅱ score alone and in combination was evaluated. 【Results】 According to MRS score, 19 cases (45.24%) had poor prognosis and 23 cases (54.76%) had good prognosis. The scores of cerebral hemorrhage and APACHE Ⅱ in poor prognosis group were significantly higher than those in the good prognosis group (P<0.05). The area under ROC curve of cerebral hemorrhage score and APACHE Ⅱ score predicting poor prognosis was 0.841 (95% CI = 0.724~0.958, P<0.001), 0.817 (95% CI = 0.690~0.944, P<0.001), respectively. The combined scheme had the highest specificity, positive predictive value and predictive accuracy, while the single scheme had higher sensitivity and negative predictive value, but the prediction accuracy was the worst.【Conclusion】 Both intracerebral hemorrhage score ≥ 2 and APACHE Ⅱ score ≥ 19 points have good value in predicting the adverse prognosis of SICH patients. Serial connection can improve the predictive specificity, positive predictive value and predictive accuracy.
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Received: 15 May 2019
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2019, Vol. 36 
