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

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Abstract

ObjectivesTo 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.

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References

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