Predictive value of amplitude integration with electroencephalogram combined with the Scandinavian Stroke Scale in patients with acute cerebral infarction
10.19845/j.cnki.zfysjjbzz.2022.0177
- VernacularTitle:振幅整合脑电图结合斯堪的那维亚卒中量表在急性脑梗死患者中的预测价值
- Author:
Li GUO
1
;
Huilin DENG
1
;
Li YUAN
1
Author Information
1. Department of Neurology,Nanchong Central Hospital,Sichuan Province,Nancong 637000,China
- Publication Type:Journal Article
- Keywords:
Amplitude integrated electroencephalogram;
Scandinavian stroke scale;
Acute cerebral infarction;
Prognosis
- From:
Journal of Apoplexy and Nervous Diseases
2022;39(8):704-708
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of amplitude integrated electroencephalogram (aEEG) combined with the Scandinavian Stroke Scale (SSS) in evaluating the prognosis of acute infarction.Methods One hundred and twenty-four patients with acute cerebral infarction admitted to our hospital from February 2019 to July 2021 were selected as the research objects.After admission,the amplitude integrated EEG and SSS scores were measured.After 28 days,the prognosis of the patients was assessed by the activity of daily living scale (Barthel Index).According to the scores,the patients were divided into the good prognosis group (Barthel index score>45) and the poor prognosis group (Barthel index score≤45).Logistic regression analysis was used to analyze the risk factors of poor prognosis.Draw the receiver operating characteristic (ROC) curve,and analyze the predictive value of AEEG and SSS scores for poor prognosis.Results The AEEG upper and lower boundaries,SSS score and GCS score in the poor prognosis group were lower than those in the good prognosis group (P<0.05),the proportion of brain hernia formation and multiple organ failure,and the levels of hs CRP and D-D in the poor prognosis group were higher than those in the good prognosis group (P<0.05).Logistic regression analysis showed that AEEG upper and lower bounds,brain hernia formation,multiple organ failure,SSS score at admission and GCS score at admission were all risk factors for poor prognosis (P<0.05).ROC curve analysis showed that the sensitivity,accuracy and AUC of aEEG upper and lower boundaries combined with SSS score in predicting poor prognosis of patients with acute cerebral infarction at admission were 92.35%,89.57% and 0.829 respectively.Conclusion aEEG and SSS scores are independent risk factors for poor prognosis in patients with acute cerebral infarction,and the combination of the two has a high predictive value for the prognosis of acute cerebral infarction.
- Full text:202407232243186167Predictive value of amplitude integration with electroencephalogram combined with the Scandinavian Stroke Scale in patients with acute cerebral infarction.pdf
