Predictive validity of the prognosis on admission aneurysmal subarachnoid haemorrhage scale for the outcome of patients with aneurysmal subarachnoid haemorrhage

© 2023. The Author(s)..

This multicentre prospective cohort study aimed to compare the accuracy of the PAASH, WFNS, and Hunt and Hess (H&H) scales in predicting the outcomes of adult patients with aneurysmal SAH presented to three central hospitals in Hanoi, Vietnam, from August 2019 to June 2021. Of 415 eligible patients, 32.0% had a 90-day poor outcome, defined as an mRS score of 4 (moderately severe disability) to 6 (death). The PAASH, WFNS and H&H scales all have good discriminatory abilities for predicting the 90-day poor outcome. There were significant differences in the 90-day mean mRS scores between grades I and II (p = 0.001) and grades II and III (p = 0.001) of the PAASH scale, between grades IV and V (p = 0.026) of the WFNS scale, and between grades IV and V (p < 0.001) of the H&H scale. In contrast to a WFNS grade of IV-V and an H&H grade of IV-V, a PAASH grade of III-V was an independent predictor of the 90-day poor outcome. Because of the more clearly significant difference between the outcomes of the adjacent grades and the more strong effect size for predicting poor outcomes, the PAASH scale was preferable to the WFNS and H&H scales.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Scientific reports - 13(2023), 1 vom: 25. Apr., Seite 6721

Sprache:

Englisch

Beteiligte Personen:

Nguyen, Tuan Anh [VerfasserIn]
Vu, Luu Dang [VerfasserIn]
Mai, Ton Duy [VerfasserIn]
Dao, Co Xuan [VerfasserIn]
Ngo, Hung Manh [VerfasserIn]
Hoang, Hai Bui [VerfasserIn]
Do, Son Ngoc [VerfasserIn]
Nguyen, Hao The [VerfasserIn]
Pham, Dung Thi [VerfasserIn]
Nguyen, My Ha [VerfasserIn]
Nguyen, Duong Ngoc [VerfasserIn]
Vuong, Hien Thi Thu [VerfasserIn]
Vu, Hung Dinh [VerfasserIn]
Nguyen, Dong Duc [VerfasserIn]
Nguyen, Linh Quoc [VerfasserIn]
Dao, Phuong Viet [VerfasserIn]
Vu, Thanh Dang [VerfasserIn]
Nguyen, Dung Tien [VerfasserIn]
Tran, Tuan Anh [VerfasserIn]
Pham, Trang Quynh [VerfasserIn]
Van Nguyen, Chi [VerfasserIn]
Nguyen, Anh Dat [VerfasserIn]
Luong, Chinh Quoc [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Multicenter Study

Anmerkungen:

Date Completed 17.05.2023

Date Revised 30.05.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1038/s41598-023-33798-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM356886387