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Date Published: 26/04/2022
Abstract Views: 582
Views PDF: 182
DOI: https://doi.org/10.51298/vmj.v512i2.2265
Issue
Vol. 512 No. 2 (2022)
Section
Các bài báo
How to Cite
Hồng Khôi, V. ., & Phước Sung, P. . (2022). PREDICTIVE VALUE AND THE CORRELATION BETWEEN FOUR, GLASGOW COMA SCALE AND THE OUTCOME OF PATIENTS WITH PRIMARY HEMORRHAGIC STROKE. Vietnam Medical Journal, 512(2). https://doi.org/10.51298/vmj.v512i2.2265

PREDICTIVE VALUE AND THE CORRELATION BETWEEN FOUR, GLASGOW COMA SCALE AND THE OUTCOME OF PATIENTS WITH PRIMARY HEMORRHAGIC STROKE

Võ Hồng Khôi1,2,3,, Phạm Phước Sung4
1 Department of Neurology, Bach Mai Hospital
2 Hanoi Medical University
3 University of Medicine and Pharmacy, Vietnam National University, Hanoi
4 Thanh Hoa General Hospital

Main Article Content

Abstract

Objectives:  To evaluate the predictive value and the relationship between FOUR, Glasgow coma scale and the outcome of patients with primary hemorrhagic stroke. Methods: We conducted a prospective descriptive study of 139 primary cerebral hemorrhage patients, hospitalized in the Neurology Department of Bach Mai Hospital within one week from the onset during March 2016 to June 2016. Results: The mortality rate was 24,5%, the rate of favorable outcome was 20,1%, and moderate to severe disabled patients accounted for 55.4%. There was a strict relationship between the FOUR, Glasgow coma scale and the clinical outcome of patients with primary hemorrhagic stroke (OR = 1.87, CI: 1.36 – 2.58, p < 0,01, r = - 0.76; OR = 1.53, CI: 1.16 – 2.03, p < 0,01, r = -0.74, respectively). Conclusions: The FOUR and GCS scales had strict relationship with clinical outcome at 30 days according to modified Rankin scale. More studies are needed to consolidate the role of FOUR scale in practice.

Article Details

Keywords

Hemorrhagic stroke, FOUR, Glasgow coma scales, predictive value

References

1. Wijdicks (2006). “Clinical Scale For Comatose Patients: The Glasgow Coma Scale in Hitstorical Context and the new FOUR Score”. Rev Neurol Dis, 2006, Volume 3(3), pp: 109- 117.
2. Stead L G et al (2009). “Validation of a new Score Coma scale, the FOUR Score, in the Emergency Department”. Neurocrit Care, 2009, Volume, pp. 50-54.
3. Vũ Anh Nhị, Võ Thanh Dinh (2013). “Nghiên cứu tiên lượng tử vong bằng thang điểm FOUR ở bệnh nhân hôn mê”. Nghiên cứu Y học, Y Học TP. Hồ Chí Minh Tập 17, Phụ bản của Số 1, 2013, trang 14-18.
4. Nguyễn Minh Hiện, Nguyễn Xuân Thản (1996). Nhận xét các yếu tố tiên lượng nặng ở bệnh nhân chảy máu não, Kỷ yếu Công trình khoa học thần kinh, Nhà xuất bản Y học, 140-143.
5. Qureshi A.T, Safdar K., Weil E.J et al (1995). Predictor of early deterioration and mortality in black Americans with spontaneous intracerebral hemorrhage. Stroke, 26(10), 1764-1767.
6. Broderick J.P, Brott T.G, Duldner J.E et al (1993). Volume of intracerebral hemorrhage. A powerful and easy-to-use predictor of 30-day mortality. Stroke, 24(7), 987 -993.
7. Keep R.F, Hua Y.,Xi G. (2012). Intracerebral haemorrhage: mechanisms of injury and therapeutic targets. Lancet Neurol, 11(8), 1474 - 4422.
8. Marcati E et al (2011). Validation of the Italian version of a new coma scale: the FOUR score. Intern Emergerg Med, Pubplished online 2011, DOI 10.1007/s11739-011-0583-x.