Qun-Xi Li1, Xiao-Jing Zhao2, Yan Wang3, Da-Li Wang3, Jiang Zhang3, Tie-Jun Liu4, Yan-Bo Peng3, Hai-Yan Fan3, Fu-Xia Zheng3. 1. Department of Neurosurgery, Affiliated Hospital of North China University of Science and Technology, Tangshan, 063000, China. 2. Department of Neurology, Affiliated Hospital of North China University of Science and Technology, No. 73 of Jianshe South Road, Lubei District, Tangshan, 063000, China. zhaoxj_xj@163.com. 3. Department of Neurology, Affiliated Hospital of North China University of Science and Technology, No. 73 of Jianshe South Road, Lubei District, Tangshan, 063000, China. 4. Department of Anesthesia, Affiliated Hospital of North China University of Science and Technology, Tangshan, 063000, China.
Abstract
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.
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.
Entities:
Keywords:
Activity of daily living; Barthel index; Prognosis; Stroke
Authors: Janusz Wojtusiak; Negin Asadzadehzanjani; Cari Levy; Farrokh Alemi; Allison E Williams Journal: BMC Med Inform Decis Mak Date: 2021-01-09 Impact factor: 2.796