希腊中风评分在埃塞俄比亚的应用。验证性研究

T. Berhe, G. Zenebe, Y. Melkamu
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引用次数: 5

摘要

目的:评价希腊脑卒中评分在埃塞俄比亚首都亚的斯亚贝巴的适用性。方法:采用横断面研究设计,对行CT扫描的急性脑卒中患者进行希腊脑卒中评分。检测敏感性、特异性、阳性预测值和阴性预测值。结果:91例入组患者中,CT扫描显示脑梗死42例,脑出血49例。36例(39.6%)患者的希腊评分不确定(模棱两可)。敏感性、特异性、阳性预测值和阴性预测值分别为0.778 (95% CI, 0.5730.906)、0.893 (95% CI, 0.706 ~ 0.972)、0.875 (95% CI, 0.665 ~ 0.967)、0.806 (955 CI, 0.619 ~ 0.919)。其总体准确率为83.6%。结论:希腊脑卒中评分对脑出血的诊断特异性较好,但不确定病例的比例较高,不能作为指导医生对脑卒中进行治疗的依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of Greek Stroke Score in Ethiopia. A validation study
Objective: To assess the applicability of Greek stroke score in Addis Abeba, Ethiopia. Method: Using a cross sectional study design, acute stroke patients who had CT scan done were evaluated with Greek stroke score. Sensitivity, specificity, positive & negative predictive values were tested.Result: Out of 91 patients enrolled in the study 42 patients had cerebral infarction and 49 patients had intracerebral hemorrhage by CT scan. The Greek score was uncertain (equivocal) in 36 (39.6%) patients. The sensitivity, specificity, positive & negative predictive values were 0.778 (95% CI, 0.5730.906), 0.893 (95% CI, 0.706-0.972), 0.875 (95% CI, 0.665-0.967), 0.806 (955 CI, 0.619-0.919), respectively. Its overall accuracy was 83.6%.Conclusion: The Greek stroke score has good specificity for diagnosis of intracerebral hemorrhage, but has high percentage of uncertain cases hence could not be recommended to guide physicians in the management of stroke.
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