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Title

Validation of SUSPEKT Score in Predicting One-month Mortality of Patients with Hemorrhagic Stroke; a Diagnostic Accuracy Study

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Abstract

 Introduction: Predicting the outcome of patientswith intracranial hemorrhage (ICH) is the area of interest for in charge physicians aswell as patients and their associates. This study aimed to evaluate the accuracy of SUSPEKT score in predicting one-month outcome of patients with hemorrhagic stroke. Methods: This prospective cross sectional study was conducted on > 18 years old patients with non-traumatic supra-tentorial ICH admitted to emergency department, from February 2017 to January 2018. SUSPEKT score was measured for each patient and its screening performance characteristics in prediction of one-month mortality were calculated. Results: 169 cases with the mean age of 63. 09 § 15. 45 (21 – 96) years were studied (56. 8% male). After one month follow up 47 (27. 8%) cases had died, 30 (17. 7%) cases were bed ridden, and 72 (42. 6%) could walk without help or with a cane. Non-survived patients had significantly larger intra-ventricular hemorrhage (IVH) (p < 0. 001) and hematoma (p < 0. 001) volume, higher serumglucose (p < 0. 001) and blood pressure (p = 0. 028), higher frequency of IVH (p < 0. 001), and higher WBC count (p = 0. 037). Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of SUSPEKT score at the 65 cut point were 82. 97% (95% CI: 68. 65% – 91. 86%), 74. 59% (95% CI: 65. 76% – 81. 84%), 55. 71% (95% CI: 43. 38% – 67. 40%), and 91. 91% (95% CI: 84. 23% – 96. 16%), respectively. Conclusion: Total accuracy of SUSPEKT score in predicting one-month mortality of non-traumatic ICH patients is in good range and it has 82%sensitivity and 92%NPV in this regard. It seems that we need further studies before applying the score in routine practice.

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    APA: Copy

    KARIMAN, HAMID, HATAMABADI, HAMIDREZA, SHOJAEE, MAJID, Asarzadegan, Farhad, & Saljughi, Simin. (2019). Validation of SUSPEKT Score in Predicting One-month Mortality of Patients with Hemorrhagic Stroke; a Diagnostic Accuracy Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 7(1), 0-0. SID. https://sid.ir/paper/339808/en

    Vancouver: Copy

    KARIMAN HAMID, HATAMABADI HAMIDREZA, SHOJAEE MAJID, Asarzadegan Farhad, Saljughi Simin. Validation of SUSPEKT Score in Predicting One-month Mortality of Patients with Hemorrhagic Stroke; a Diagnostic Accuracy Study. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2019;7(1):0-0. Available from: https://sid.ir/paper/339808/en

    IEEE: Copy

    HAMID KARIMAN, HAMIDREZA HATAMABADI, MAJID SHOJAEE, Farhad Asarzadegan, and Simin Saljughi, “Validation of SUSPEKT Score in Predicting One-month Mortality of Patients with Hemorrhagic Stroke; a Diagnostic Accuracy Study,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 7, no. 1, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/339808/en

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