Predicting functional outcome after stroke by modelling baseline clinical and CT variables

John M. Reid, Gord J. Gubitz, Dingwei Dai, David Kydd, Gail Eskes, Yvette Reidy, Christine Christian, Carl E. Counsell, Martin Dennis, Stephen J. Phillips

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

71 Citas (Scopus)

Resumen

Background: We aimed to assess whether the performance of stroke outcome models comprising simple clinical variables could be improved by the addition of more complex clinical variables and information from the first computed tomography (CT) scan. Methods: 538 consecutive acute ischaemic and haemorrhagic stroke patients were enrolled in a Stroke Outcome Study between 2001 and 2002. Independent survival (modfied Rankin scale ≤2) was assessed at 6 months. Models based on clinical and radiological variables from the first assessment were developed using multivariate logistic regression analysis. Results: three models were developed (I-III). Model I included age, pre-stroke independence, arm power and a stroke severity score (area under a receiver operating characteristic curve, AUC = 0.882) but performed no better than Model II, which comprised age, pre-stroke independence, normal verbal component of the Glasgow coma score, arm power and being able to walk without assistance (AUC 0.876). Model III, including two radiological variables and clinical variables, was not statistically superior to model II (AUC 0.901, P = 0.12). Model II was externally validated in two independent datasets (AUCs of 0.773 and 0.787).Conclusion: this study demonstrates an externally validated stroke outcome prediction model using simple clinical variables. Outcome prediction was not signficantly improved with CT-derived radiological variables or more complex clinical variables.

Idioma originalEnglish
Número de artículoafq027
Páginas (desde-hasta)360-366
Número de páginas7
PublicaciónAge and Ageing
Volumen39
N.º3
DOI
EstadoPublished - mar. 15 2010

Nota bibliográfica

Funding Information:
The SOS is a research project funded by the Capital Health Research Fund and the Nova Scotia Health Research Foundation. J.M.R. was supported by the Dalhousie Internal Medicine Research Foundation and by unrestricted educational grants from Merck Frosst and Hoffman-La Roche.

ASJC Scopus Subject Areas

  • Ageing
  • Geriatrics and Gerontology

Huella

Profundice en los temas de investigación de 'Predicting functional outcome after stroke by modelling baseline clinical and CT variables'. En conjunto forman una huella única.

Citar esto