修改后的hijdra得分的值在患有动脉瘤下arachnoid出血的患者
Rongjie Wu1,2, Fangbo Hu1,2, Changtao Liu1
1The Affiliated Lianyungang Hospital of Xuzhou Medical University/The Affiliated Hospital of Kangda College of Nanjing Medical University/Lianyungang Clinical College of Nanjing Medical University/The First People's Hospital of Lianyungang, Jiangsu, China.
Heliyon
|April 9, 2024
概括
修改后的Hijdra评分可以改善动脉瘤下arachnoid出血 (aSAH) 的诊断和预后. 这种简化方法比传统的Hijdra分数提供了更高的准确性,有助于临床决策.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 传统的Hijdra评分的复杂性阻碍了其在诊断内破裂动脉瘤的临床使用.
- 动脉瘤下关节出血 (aSAH) 需要准确和及时的诊断,以有效的患者管理.
研究的目的:
- 在患有下大脑关节出血 (SAH) 的患者中评估修改后的Hijdra评分的诊断价值.
- 在被诊断为动脉瘤SAH的患者中评估修改后的Hijdra评分的预后能力.
主要方法:
- 在2018年1月至2023年6月期间,收集了773名SAH患者的数据.
- 与传统方法相比,修改后的Hijdra评分简化了基底水库/裂和血瘤的评估.
- 数据被分为评估 (n=641) 和验证 (n=132) 组,以评估诊断和预后性能.
主要成果:
- 修改后的Hijdra评分显示动脉瘤诊断的AUC为0.894 (灵敏度为98.0%,特异性为64.8%).
- 诊断效率为93.24%,负预测值为84.29%,超过了传统的Hijdra评分.
- 对于预后预测,修改后的得分为AUC为0.824 (灵敏度为84.3%,特异性为70.0%).
- 在CTA阴性患者中,在aSAH病例中 (15.48 ± 3.93) 与非aSAH病例 (6.31 ± 4.52) 相比,修改后的Hijdra得分显著更高.
结论:
- 修改后的Hijdra评分是一个有价值的工具,可以帮助诊断动脉瘤下关节出血.
- 修改后的Hijdra评分有效地帮助预测aSAH患者的预后.
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