Validation of the accuracy of the modified World Federation of Neurosurgical Societies subarachnoid hemorrhage grading scale for predicting the outcomes of patients with aneurysmal subarachnoid hemorrhage.
| Title: | Validation of the accuracy of the modified World Federation of Neurosurgical Societies subarachnoid hemorrhage grading scale for predicting the outcomes of patients with aneurysmal subarachnoid hemorrhage. |
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| Authors: | Nguyen TA; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Mai TD; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Stroke Center, Bach Mai Hospital, Hanoi, Vietnam.; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.; Vu LD; Radiology Centre, Bach Mai Hospital, Hanoi, Vietnam.; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.; Dao CX; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.; Center for Critical Care Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Ngo HM; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.; Department of Neurosurgery II, Neurosurgery Center, Vietnam-Germany Friendship Hospital, Hanoi, Vietnam.; Department of Surgery, Hanoi Medical University, Hanoi, Vietnam.; Hoang HB; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Emergency and Critical Care Department, Hanoi Medical University Hospital, Hanoi Medical University, Hanoi, Vietnam.; Tran TA; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.; Radiology Centre, Bach Mai Hospital, Hanoi, Vietnam.; Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.; Pham TQ; Department of Surgery, Hanoi Medical University, Hanoi, Vietnam.; Department of Neurosurgery, Bach Mai Hospital, Hanoi, Vietnam.; Pham DT; Department of Nutrition and Food Safety, Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.; Nguyen MH; Department of Health Organization and Management, Faculty of Public Health, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.; Nguyen LQ; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Dao PV; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Stroke Center, Bach Mai Hospital, Hanoi, Vietnam.; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.; Nguyen DN; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Vuong HTT; Emergency Department, Vietnam-Czechoslovakia Friendship Hospital, Hai Phong, Vietnam.; Vu HD; Emergency and Critical Care Department, Hanoi Medical University Hospital, Hanoi Medical University, Hanoi, Vietnam.; Nguyen DD; Department of Neurosurgery II, Neurosurgery Center, Vietnam-Germany Friendship Hospital, Hanoi, Vietnam.; Vu TD; Emergency Department, Agriculture General Hospital, Hanoi, Vietnam.; Nguyen DT; Stroke Center, Bach Mai Hospital, Hanoi, Vietnam.; Do ALN; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Nguyen CD; Department of Emergency and Critical Care Medicine, Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.; Do SN; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam.; Center for Critical Care Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Nguyen HT; Department of Surgery, Hanoi Medical University, Hanoi, Vietnam.; Department of Neurosurgery, Bach Mai Hospital, Hanoi, Vietnam.; Nguyen CV; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Nguyen AD; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Luong CQ; Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam.; Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, Vietnam.; Faculty of Medicine, University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam. |
| Source: | PloS one [PLoS One] 2023 Aug 22; Vol. 18 (8), pp. e0289267. Date of Electronic Publication: 2023 Aug 22 (Print Publication: 2023). |
| Publication Type: | Multicenter Study; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: San Francisco, CA : Public Library of Science |
| MeSH Terms: | Subarachnoid Hemorrhage*/diagnosis; Adult ; Humans ; Prospective Studies ; Hospitalization ; Hospitals ; Odds Ratio |
| Abstract: | Background: Evaluating the prognosis of patients with aneurysmal subarachnoid hemorrhage (aSAH) who may be at risk of poor outcomes using grading systems is one way to make a better decision on treatment for these patients. This study aimed to compare the accuracy of the modified World Federation of Neurosurgical Societies (WFNS), WFNS, and Hunt and Hess (H&H) Grading Scales in predicting the outcomes of patients with aSAH.; Methods: From August 2019 to June 2021, we conducted a multicenter prospective cohort study on adult patients with aSAH in three central hospitals in Hanoi, Vietnam. The primary outcome was the 90-day poor outcome, measured by a score of 4 (moderately severe disability) to 6 (death) on the modified Rankin Scale (mRS). We calculated the areas under the receiver operator characteristic (ROC) curve (AUROCs) to determine how well the grading scales could predict patient prognosis upon admission. We also used ROC curve analysis to find the best cut-off value for each scale. We compared AUROCs using Z-statistics and compared 90-day mean mRS scores among intergrades using the pairwise multiple-comparison test. Finally, we used logistic regression to identify factors associated with the 90-day poor outcome.; Results: Of 415 patients, 32% had a 90-day poor outcome. The modified WFNS (AUROC: 0.839 [95% confidence interval, CI: 0.795-0.883]; cut-off value≥2.50; PAUROC |
| Competing Interests: | The authors have declared that no competing interests exist. |
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| Entry Date(s): | Date Created: 20230822 Date Completed: 20230824 Latest Revision: 20230828 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC10443875 |
| DOI: | 10.1371/journal.pone.0289267 |
| PMID: | 37607172 |
| Database: | MEDLINE |
Multicenter Study; Journal Article