Predictive value of Essen stroke risk scale scores in stenosis of patients with anterior circulation acute ischemic stroke
10.3760/cma.j.issn.1671-8925.2015.08.004
- VernacularTitle:ESRS评分对前循环急性缺血性脑卒中患者脑血管狭窄的预测作用
- Author:
Wanjun LU
1
;
Shenggang QIU
;
Jing LIU
;
Jian PENG
Author Information
1. 扬州大学附属扬州市江都人民医院神经内科
- Keywords:
Cerebral ischemia stroke;
Atherosclerosis;
Anterior circulation;
Essen stroke risk scale;
Cerebrovascular stenosis;
Risk assessment;
Prediction
- From:
Chinese Journal of Neuromedicine
2015;14(8):775-779
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of Essen stroke risk scale (ESRS) scores in stenosis of patients with anterior circulation acute ischemic stroke.Methods A total of 98 patients with atherosclerotic stroke in anterior circulation,admitted to our hospital from June 2011 to June 2013,were selected and performed head+neck CTA inspection cycle and ESRS.According to the ESRS scores,the patients were divided into low risk group (n=35),high risk group (n=44) and extremely high risk group (n=19).The relationship between the cerebrovascular morphology characteristics and ESRS scores were analyzed,and the predictive value of ESRS scores in stenosis was analyzed.Results (1) The distributions of these stenosis (the intracranial segment,the extracranial segment and combined intracranial and extracranial segments) were not significantly different among the three groups (P＞0.05).(2) Following the increase of ESRS scores,the degrees of luminal stenosis showed an increased trend in both circulation symptom side and non-symptom side (x2=9.784,P=0.002;xx2=9.215,P=0.002).(3) When the ESRS scores were higher than or equal to 3 points,the sensitivity of predicting mild stenosis was 63.6％,specificity 53.4％,with area under receiver operating characteristic curve (AUC) of 0.595 (P=0.182,95％CI:0.445-0.764);the sensitivity of predicting moderate stenosis,severe stenosis and occlusion was 60.3％,specificity 66.7％,with AUC of 0.679 (P=0.005,95％CI:0.553-0.805).Conclusions ESRS scores can predict the severity of the stenosis in patients with atherosclerotic cerebral stroke of anterior circulation.The patients having ESRS ≥ 3 scores should accept cerebrovascular examination to provide a certain basis for early and effective stratified intervention.
