Author
Listed:
- Tuan Anh Nguyen
- Ton Duy Mai
- Luu Dang Vu
- Co Xuan Dao
- Hung Manh Ngo
- Hai Bui Hoang
- Tuan Anh Tran
- Trang Quynh Pham
- Dung Thi Pham
- My Ha Nguyen
- Linh Quoc Nguyen
- Phuong Viet Dao
- Duong Ngoc Nguyen
- Hien Thi Thu Vuong
- Hung Dinh Vu
- Dong Duc Nguyen
- Thanh Dang Vu
- Dung Tien Nguyen
- Anh Le Ngoc Do
- Cuong Duy Nguyen
- Son Ngoc Do
- Hao The Nguyen
- Chi Van Nguyen
- Anh Dat Nguyen
- Chinh Quoc Luong
Abstract
Background: Evaluating the prognosis of patients with aneurysmal subarachnoid hemorrhage (aSAH) who may be at risk of poor outcomes using grading systems is one way to make a better decision on treatment for these patients. This study aimed to compare the accuracy of the modified World Federation of Neurosurgical Societies (WFNS), WFNS, and Hunt and Hess (H&H) Grading Scales in predicting the outcomes of patients with aSAH. Methods: From August 2019 to June 2021, we conducted a multicenter prospective cohort study on adult patients with aSAH in three central hospitals in Hanoi, Vietnam. The primary outcome was the 90-day poor outcome, measured by a score of 4 (moderately severe disability) to 6 (death) on the modified Rankin Scale (mRS). We calculated the areas under the receiver operator characteristic (ROC) curve (AUROCs) to determine how well the grading scales could predict patient prognosis upon admission. We also used ROC curve analysis to find the best cut-off value for each scale. We compared AUROCs using Z-statistics and compared 90-day mean mRS scores among intergrades using the pairwise multiple-comparison test. Finally, we used logistic regression to identify factors associated with the 90-day poor outcome. Results: Of 415 patients, 32% had a 90-day poor outcome. The modified WFNS (AUROC: 0.839 [95% confidence interval, CI: 0.795–0.883]; cut-off value≥2.50; PAUROC
Suggested Citation
Tuan Anh Nguyen & Ton Duy Mai & Luu Dang Vu & Co Xuan Dao & Hung Manh Ngo & Hai Bui Hoang & Tuan Anh Tran & Trang Quynh Pham & Dung Thi Pham & My Ha Nguyen & Linh Quoc Nguyen & Phuong Viet Dao & Duong, 2023.
"Validation of the accuracy of the modified World Federation of Neurosurgical Societies subarachnoid hemorrhage grading scale for predicting the outcomes of patients with aneurysmal subarachnoid hemorr,"
PLOS ONE, Public Library of Science, vol. 18(8), pages 1-23, August.
Handle:
RePEc:plo:pone00:0289267
DOI: 10.1371/journal.pone.0289267
Download full text from publisher
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0289267. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.