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Value of the Barthel scale in prognostic prediction for patients with cerebral infarction.
BMC Cardiovascular Disorders ( IF 2.0 ) Pub Date : 2020-01-13 , DOI: 10.1186/s12872-019-01306-1
Qun-Xi Li 1 , Xiao-Jing Zhao 2 , Yan Wang 2 , Da-Li Wang 2 , Jiang Zhang 2 , Tie-Jun Liu 3 , Yan-Bo Peng 2 , Hai-Yan Fan 2 , Fu-Xia Zheng 2
Affiliation  

BACKGROUND This study aims to evaluate the ADL(activity of daily living) of patients with acute cerebral infarction through BI scoring, in order to observe its predictive value in the prognosis of these patients. METHODS According to the inclusion and exclusion criteria, patients with acute anterior circulation cerebral infarction were included in the present study. Then, the BI scoring was analyzed through five grades, in order to further investigate the dose-response relationship between BI scoring and mortality risk in patients with cerebral infarction. The receiver operating characteristic (ROC) curves for BI-scored patients were drawn, and the predictive authenticity of the Barthel scale in prognostic prediction for patients with cerebral infarction was estimated. RESULTS The difference in BI scores between the survival group and death group were statistically significant (t = 10.029, P < 0.05), in which the score was lower in the death group than in the survival group. According to the linear trend ×2-test, the decrease in BI score indicates an increase in mortality risk in patients with cerebral infarction. The area under the curve (AUC) of the ROC curve was 0.794 with a P-value of < 0.05. CONCLUSION BI scoring is a highly valuable scoring system for the prognostic prediction of patients with acute cerebral infarction.

中文翻译:

Barthel量表在脑梗死患者预后预测中的价值。

背景技术本研究旨在通过BI评分评估急性脑梗死患者的ADL(日常生活活动),以观察其对这些患者预后的预测价值。方法根据纳入和排除标准,将急性前循环脑梗死患者纳入本研究。然后,通过五个等级来分析BI评分,以进一步研究BI评分与脑梗死患者死亡风险之间的剂量反应关系。绘制BI评分患者的接受者工作特征(ROC)曲线,并评估Barthel量表在脑梗死患者预后预测中的预测真实性。结果生存组和死亡组之间BI评分的差异具有统计学意义(t = 10.029,P <0.05),其中死亡组的BI评分低于生存组。根据线性趋势×2检验,BI分数降低表明脑梗死患者的死亡风险增加。ROC曲线的曲线下面积(AUC)为0.794,P值<0.05。结论BI评分是对急性脑梗死患者的预后预测非常有价值的评分系统。ROC曲线的曲线下面积(AUC)为0.794,P值<0.05。结论BI评分是对急性脑梗死患者的预后预测非常有价值的评分系统。ROC曲线的曲线下面积(AUC)为0.794,P值<0.05。结论BI评分是对急性脑梗死患者的预后预测非常有价值的评分系统。
更新日期:2020-01-13
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