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Date Published: 29/10/2024
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DOI: https://doi.org/10.51298/vmj.v543i3.11530
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Vol. 543 No. 3 (2024)
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Trần, N. T., Nguyễn, A. T., & Lương, Q. C. (2024). COMPARISON OF THE PREDICTIVE VALUE OF MODIFIED WFNS GRADING WITH WFNS AND HUNT-HESS GRADING IN PATIENTS WITH ANEURYSMAL SUBARACHNOID HEMORRHAGE. Vietnam Medical Journal, 543(3). https://doi.org/10.51298/vmj.v543i3.11530

COMPARISON OF THE PREDICTIVE VALUE OF MODIFIED WFNS GRADING WITH WFNS AND HUNT-HESS GRADING IN PATIENTS WITH ANEURYSMAL SUBARACHNOID HEMORRHAGE

Nhật Tuân Trần, Anh Tuấn Nguyễn, Quốc Chính Lương

Main Article Content

Abstract

Objective: To compare the predictive value of modified WFNS grading with WFNS and Hunt-Hess grading in patients with aneurysmal subarachnoid hemorrhage. Study Design: A retrospective study, which followed 195 patients with aneurysmal subarachnoid hemorrhage who were treated from July 2022 to September 2023 at Bach Mai Hospital. Results: The average age in the study was 58.53 ± 12.84 years. The area under the ROC curve for modified WFNS, WFNS, and Hunt-Hess grading in predicting poor neurological outcomes at 1 month was 0.9144; 0.9121; and 0.9108, respectively (p>0.05). The area under the ROC curve for modified WFNS, WFNS, and Hunt-Hess grading in predicting poor neurological outcomes at 3 months was 0.9171; 0.9147; and 0.9143, respectively (p>0.05). Conclusion: The modified WFNS, WFNS, and Hunt-Hess grading systems all demonstrated good discriminatory ability regarding patient prognosis at 1 month and 3 months post-treatment. The modified WFNS grading system can be used as an alternative to WFNS and Hunt-Hess in predicting poor neurological outcomes in patients with aneurysmal subarachnoid hemorrhage.

Article Details

Keywords

modified WFNS grading, predictive value, subarachnoid hemorrhage.

References

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