PL EN


Preferences help
enabled [disable] Abstract
Number of results
2016 | 16 | 2 | 71-78
Article title

Soetomo score: score model in early identification of acute haemorrhagic stroke

Content
Title variants
PL
Ocena Soetomo: model oceny we wczesnym rozpoznaniu ostrego udaru krwotocznego
Languages of publication
EN PL
Abstracts
EN
Aim of the study: On financial or facility constraints of brain imaging, score model is used to predict the occurrence of acute haemorrhagic stroke. Accordingly, this study attempts to develop a new score model, called Soetomo score. Material and methods: The researchers performed a cross-sectional study of 176 acute stroke patients with onset of ≤24 hours who visited emergency unit of Dr. Soetomo Hospital from July 14th to December 14th, 2014. The diagnosis of haemorrhagic stroke was confirmed by head computed tomography scan. There were seven predictors of haemorrhagic stroke which were analysed by using bivariate and multivariate analyses. Furthermore, a multiple discriminant analysis resulted in an equation of Soetomo score model. The receiver operating characteristic procedure resulted in the values of area under curve and intersection point identifying haemorrhagic stroke. Afterward, the diagnostic test value was determined. Results: The equation of Soetomo score model was (3 × loss of consciousness) + (3.5 × headache) + (4 × vomiting) − 4.5. Area under curve value of this score was 88.5% (95% confidence interval = 83.3–93.7%). In the Soetomo score model value of ≥−0.75, the score reached the sensitivity of 82.9%, specificity of 83%, positive predictive value of 78.8%, negative predictive value of 86.5%, positive likelihood ratio of 4.88, negative likelihood ratio of 0.21, false negative of 17.1%, false positive of 17%, and accuracy of 83%. Conclusions: The Soetomo score model value of ≥−0.75 can identify acute haemorrhagic stroke properly on the financial or facility constrains of brain imaging.
PL
Cel: W przypadku ograniczeń finansowych lub lokalizacyjnych w zakresie obrazowania mózgu stosowany jest model oceny, który ma pomóc przewidzieć wystąpienie ostrego udaru krwotocznego. W niniejszym opracowaniu podjęto próbę opracowania nowego modelu oceny, nazwanego oceną Soetomo. Materiał i metoda: Autorzy przeprowadzili przekrojowe badanie 176 pacjentów z ostrym udarem, który wystąpił w ciągu ≤24 godzin, przyjętych na oddział pomocy doraźnej szpitala Dr Soetomo w okresie od 14 lipca do 14 grudnia 2014 roku. Diagnoza udaru krwotocznego była potwierdzana tomografią komputerową głowy. Stwierdzono siedem predyktorów udaru krwotocznego, które poddano analizom dwuwymiarowym i wielowymiarowym. Ponadto dzięki wielowymiarowej analizie dyskryminacyjnej uzyskano równanie dla modelu oceny Soetomo. Otrzymana charakterystyczna procedura operacyjna przyniosła wartości obszaru poniżej krzywej i punktu przecięcia określającego udar krwotoczny. Następnie określono wartość badania diagnostycznego. Wyniki: Równanie modelu oceny Soetomo było następujące: (3 × utrata przytomności) + (3,5 × ból głowy) + (4 × wymioty) – 4,5. Wartość pola pod krzywą dla tej oceny wyniosła 88,5% (95% przedział ufności = 83,3–93,7%). Przy wartości oceny Soetomo ≥−0,75 uzyskano czułość 82,9%, swoistość 83%, wartość predykcyjną dodatnią 78,8%, wartość predykcyjną ujemną 86,5%, wskaźnik wiarygodności wyniku dodatniego 4,88, wskaźnik wiarygodności wyniku ujemnego 0,21, odsetek wyników fałszywie ujemnych 17,1%, odsetek wyników fałszywie dodatnich 17% oraz dokładność 83%. Wnioski: Wartość oceny Soetomo ≥−0,75 może pomóc prawidłowo rozpoznać ostry udar krwotoczny w przypadku ograniczeń finansowych lub lokalizacyjnych w zakresie obrazowania mózgu.
Discipline
Publisher

Year
Volume
16
Issue
2
Pages
71-78
Physical description
Contributors
  • Department of Neurology, Faculty of Medicine Airlangga University/Dr. Soetomo Hospital, Surabaya, Indonesia
  • Department of Neurology, Faculty of Medicine Airlangga University/Dr. Soetomo Hospital, Jl. Mayjend. Prof. Dr. Moestopo 6–8, Surabaya – 60286, Indonesia, tel.: 62-31-5501670, fax: 62-31-5501750, valen.soetomoscore@yahoo.com
  • Department of Neurology, Faculty of Medicine Airlangga University/Dr. Soetomo Hospital, Surabaya, Indonesia
References
  • Bateman DE: Neurological assessment of coma. J Neurol Neurosurg Psychiatry 2001; 71 Suppl 1: i13–i17.
  • Becker DE: Nausea, vomiting, and hiccups: a review of mechanisms and treatment. Anesth Prog 2010; 57: 150–156; quiz 157.
  • Butt MRA, Zakaria M, Hussain HM: Circadian pattern of onset of ischaemic and haemorrhagic strokes, and their relation to sleep/wake cycle. J Pak Med Assoc 2009; 59: 129–132.
  • Cantu C, Arauz A, Murillo-Bonilla LM et al.: Stroke associated with sympathomimetics contained in over-the-counter cough and cold drugs. Stroke 2003; 34: 1667–1672.
  • Caplan LR: Caplan’s Stroke: A Clinical Approach. 4th ed., Elsevier Saunders, Philadelphia 2009; 3: 72–75, 446–449, 487–522, 582–583.
  • Christensen H: Acute stroke – a dynamic process. Dan Med Bull 2007; 54: 210–225.
  • Dahlan MS: Penelitian diagnostik: dasar-dasar teoretis dan aplikasi dengan program SPSS dan stata. Salemba Medika, Jakarta 2009: 4–100.
  • García-Rodríguez LA, Gaist D, Morton J et al.: Antithrombotic drugs and risk of hemorrhagic stroke in the general population. Neurology 2013; 81: 566–574.
  • Gorelick PB, Weisman SM: Risk of hemorrhagic stroke with aspirin use: an update. Stroke 2005; 36: 1801–1807.
  • Greenberg MS: Handbook of Neurosurgery. 7th ed., Thieme Medical Publishers, New York 2010: 1034–1039, 1118–1125.
  • James RF, Palys V, Lomboy JR et al.: The role of anticoagulants, antiplatelet agents, and their reversal strategies in the management of intracerebral hemorrhage. Neurosurg Focus 2013; 34: E6.
  • Johkura K: Central paroxysmal positional vertigo: isolated dizziness caused by small cerebellar hemorrhage. Stroke 2007; 38: e26–e27.
  • Kase CS: Vascular diseases of the nervous system: intracerebral hemorrhage. In: Darrof RB, Fenichel GM, Jankovic J et al. (eds.): Bradley’s Neurology in Clinical Practice. 6th ed., Elsevier Saunders, Philadelphia 2012: 1054–1066.
  • Kochar DK, Joshi A, Agarwal N et al.: Poor diagnostic accuracy and applicability of Siriraj stroke score, Allen score and their combination in differentiating acute haemorrhagic and thrombotic stroke. J Assoc Physicians India 2000; 48: 584–588.
  • Lovelock CE, Redgrave JN, Briley D et al.: The SCAN rule: a clinical rule to reduce CT misdiagnosis of intracerebral haemorrhage in minor stroke. J Neurol Neurosurg Psychiatry 2010; 81: 271–275.
  • Machfoed MH, Suharjanti I, Sjahrir H (eds.): Konsensus nasional III: diagnostik dan penatalaksanaan nyeri kepala. PERDOSSI, Airlangga University Press, Surabaya 2010: 57–58.
  • Massaro AR, Sacco RL, Scaff M et al.: Clinical discriminators between acute brain hemorrhage and infarction: a practical score for early patient identification. Arq Neuropsiquiatr 2002; 60: 185–191.
  • McEvoy AW, Kitchen ND, Thomas DGT: Intracerebral haemorrhage in young adults: the emerging importance of drug misuse. BMJ 2000; 320: 1322–1324.
  • Misbach J, Lamsudin R, Allah A et al. (eds.): Guideline Stroke. PERDOSSI 2011, PERDOSSI, Jakarta 2011: 1–3, 144–145.
  • Nouira S, Boukef R, Bouida W et al.: Accuracy of two scores in the diagnosis of stroke subtype in a multicenter cohort study. Ann Emerg Med 2009; 53: 373–378.
  • Poungvarin N, Viriyavejakul A, Komontri C: Siriraj stroke score and validation study to distinguish supratentorial intracerebral haemorrhage from infarction. BMJ 1991; 302: 1565–1567.
  • Powers WJ, Zazulia AR, Videen TO et al.: Autoregulation of cerebral blood flow surrounding acute (6 to 22 hours) intracerebral hemorrhage. Neurology 2001; 57: 18–24.
  • Pozzi M, Roccatagliata D, Sterzi R: Drug abuse and intracranial hemorrhage. Neurol Sci 2008; 29 Suppl 2: S269–S270.
  • Prakash ES, Madanmohan: What causes the acute blood pressure elevation after stroke? Stroke 2005; 36: 2066.
  • Sacco RL, Kasner SE, Broderick JP et al.; American Heart Association Stroke Council, Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular and Stroke Nursing; Council on Epidemiol ogy and Prevention; Council on Peripheral Vascular Disease; Council on Nutrition, Physical Activity and Metabolism: An updated definition of stroke for the 21st century: a statement for healthcare professionals from The American Heart Association/American Stroke Association. Stroke 2013; 44: 2064–2089.
  • Shigematsu K, Nakano H, Watanabe Y et al.: Headache at the onset of stroke: frequencies, background characteristics and correlation with mortality. Health 2013; 5: 89–95.
  • Tarnutzer AA, Berkowitz AL, Robinson KA et al.: Does my dizzy patient have a stroke? A systematic review of bedside diagnosis in acute vestibular syndrome. CMAJ 2011; 183: E571–E592.
  • Terecoasa E, Tiu C, Huertas N et al.: Oral anticoagulation related intracerebral hemorrhage: more questions than answers. Romanian Journal of Neurology 2012; 11: 13–23.
  • Tindall SC: Level of consciousness. In: Walker HK, Hall WD, Hurst JW (eds.): Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd ed., Butterworths, Boston 1990: 296–299.
  • Yeo SS, Chang PH, Jang SH: The ascending reticular activating system from pontine reticular formation to the thalamus in the human brain. Front Hum Neurosci 2013; 7: 416.
Document Type
article
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.psjd-8ef9274d-f86c-4940-a77a-b20a943ba150
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.