| 高金颖，胡明昕，马瑞.THRIVE量表、mSOAR量表和简易量表对急性缺血性卒中患者1年预后预测价值[J].神经损伤功能重建,2020,15(5):256-258 |
| THRIVE量表、mSOAR量表和简易量表对急性缺血性卒中患者1年预后预测价值 |
| THRIVE Scale, mSOAR Scale and Simple Scale Scores for 1-year Prognosis of Patients withAcute Ischemic Stroke |
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| DOI： |
| 中文关键词: THRIVE量表 mSOAR量表 简易量表 急性脑梗死 预后 |
| 英文关键词: THRIVE Scale mSOAR Scale Simple Scale acute cerebral infarction prognosis |
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| 中文摘要: |
| 目的：探讨THRIVE量表、mSOAR量表和简易量表对急性缺血性卒中（AIS）患者1年不良预后的预测
价值。方法：纳入AIS患者772例，收集患者临床基线资料，同时应用THRIVE量表、mSOAR量表和简易量表
进行评分。随访1年，以患者1年时出现死亡或改良Rankin评分（mRS）≥3分为不良预后，应用ROC曲线下
面积（AUC）比较3个量表对患者预后的预测价值。结果：本组772例患者根据随访结果，纳入预后良好组576
例（74.6%），不良预后组196例（25.4%），其中死亡68例（34.7%）。THRIVE、mSOAR和简易量表预测患者1年
不良预后的AUC值分别为0.777[95%CI, (0.738, 0.815)]、0.820[95%CI, (0.706, 0.770)]和0.854[95%CI, (0.827, 0.878)]（均P＜0.001）；THRIVE和mSOAR量表的AUC值均低于简易量表（P＜0.05）。THRIVE、mSOAR和简
易量表预测死亡结局的 AUC 值分别为 0.775[95%CI, (0.721, 0.828)]、0.748[95%CI, (0.716, 0.778)]和 0.807
[95%CI, (0.778, 0.835)]（均 P＜0.05）；且 mSOAR 量表的 AUC 值低于简易量表（P＜0.05）。结论：THRIVE、
mSOAR和简易量表对AIS患者1年不良预后有较好的预测效能；简易量表的预测能力更优。 |
| 英文摘要: |
| To explore the predictive value of the THRIVE Scale, mSOAR Scale and Simple Scale
sores for 1-year adverse prognosis of patients with acute ischemic stroke (AIS). Methods: A total of 772 patients
with AIS were enrolled. The clinical baseline data were collected and compared. All the patients were scored with
THRIVE Scale, mSOAR Scale and Simple Scale, and were followed up for 1 year. Death or Modified Rankin
score (mRS) ≥3 points at 1-year were regarded as a poor prognosis. The AUC value of area under the receiver
operating characteristic curve (ROC) was used to compare the predictive values of the three scales. Results:
According to the follow-up results, 576 cases (74.6% ) were included in good prognosis group and 196 cases
(25.4% ) were included in poor prognosis group, of which 68 cases (34.7% ) died. The AUC values of THRIVE,
mSOAR and Simple Scale for 1-year predictive adverse prognosis of AIS patients were 0.777 [95% CI, (0.738, 0.815)], 0.820 [95% CI, (0.706, 0.770)] and 0.854 [95% CI, (0.827, 0.878)] (all P<0.001). And the AUC values of
the THRIVE and mSOAR scales were lower than that of Simple Scale (P<0.05). The AUC values of THRIVE,
mSOAR and Simple Scale for death were 0.775 [95% CI, (0.721, 0.828)], 0.748 [95% CI, (0.716, 0.778)] and
0.807 [95% CI, (0.778, 0.835)] (all P<0.05). And the AUC value of mSOAR scale was lower than that of Simple
Scale (P<0.05). Conclusion: THRIVE, mSOAR and Simple Scale have good predictive power for 1-year poor
prognosis of AIS patients and the Simple Scale has a better predictive ability. |
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