Comparison of aneurysmal subarachnoid hemorrhage grading scores in patients with aneurysm clipping and coiling
Comparison of aneurysmal subarachnoid hemorrhage grading scores in patients with aneurysm clipping and coiling
复制标题
动脉瘤夹闭术与弹簧圈栓塞术患者动脉瘤性蛛网膜下腔出血分级评分比较
DOI：
10.1038/s41598-020-66160-0
复制
发表时间：
2020-06-08
影响因子：
4.6
通讯作者：
Zhang, Jianmin
中科院分区：
文献类型：
--
作者：
Fang, Yuanjian;Lu, Jianan;Zhang, Jianmin
Past studies revealed the prognosis differed between aneurysmal subarachnoid hemorrhage (aSAH) patients with surgical clipping and endovascular coiling. We retrospectively reviewed aSAH patients in our institution to investigate the effectiveness of grading scores between two groups. In the surgical clipping group (n = 349), VASOGRADE had a favorable performance for predicting delayed cerebral ischemia (DCI) (area under curve (AUC) > 0.750), and had better results than clinical (World Federation of Neurosurgical Societies (WFNS), Hunt & Hess (HH) and radiological scores (modified Fisher Scale (mFS), Subarachnoid Hemorrhage Early Brain Edema Score) (P< 0.05). Clinical and combined scores (VASOGRADE, HAIR) had favorable performance for predicting poor outcome (AUC > 0.750), and had better results than radiological scores (P< 0.05). In the coiling group (n = 320), none of the grading scores demonstrated favorable predictive accuracy for DCI (AUC < 0.750). Only WFNS and VASOGRADE had AUC > 0.700, with better performance than mFS (P< 0.05). The clinical and combined scores showed favorable performance for predicting a poor outcome (AUC > 0.750), and were better than the radiological scores (P< 0.05). Radiological scores appeared inferior to the clinical and combined scores in clipping and coiling groups. VASOGRADE can be an effective grading score in patients with clipping or coiling for predicting DCI and poor outcome.
