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. 2024 Oct;193(5):2495-2500.
doi: 10.1007/s11845-024-03736-z. Epub 2024 Jun 15.

Clinical study of the prognostic value of the Essen score for acute cerebral infarction

Yani Fan  1 , Feifei Chen  1 , Shuangmei Yan  2 , Sujie Wang  1 , Sai Zhang  2 , Xiaohong He  1 , Lili Chen  3
Affiliations

Clinical study of the prognostic value of the Essen score for acute cerebral infarction

Yani Fan et al. Ir J Med Sci. 2024 Oct.

Abstract

Objective: A few clinical studies have been conducted on the prognostic value of the Essen score in acute cerebral infarction (ACI), and this study explores whether the Essen score can assess the prognosis of ACI.

Methods: Data were collected from 1176 patients with ACI. The patients were divided into three groups on the basis of the Essen score, with groups 1, 2 and 3 having scores of 0-2, 3-6 and 7-9, respectively. Logistic multivariate analysis was performed to analyse the predictors of poor prognosis in patients with ACI. The X2 trend test was used to compare the poor-prognosis groups on the basis of the Essen score. The receiver operating characteristic (ROC) curve of patient prognosis was plotted using MedCalc software, and the area under the ROC curve (AUC) was calculated. P < 0.05 was considered statistically significant.

Results: Multivariate analysis of the good- and poor-prognosis groups of ACI showed that the Essen score and the male gender were predictors of poor prognosis. The X2 trend test was used to compare the poor-prognosis groups on the basis of the Essen score, and results suggested that the higher the Essen score was, the worse the prognosis was. The Essen score assessed the prognosis of ACI with an AUC of 0.787 and P < 0.001.

Conclusion: The Essen score is a valuable scoring system for predicting the prognosis of patients with ACI.

Keywords: ACI; Essen; Poor prognosis; Prediction; Prognostic value; Scoring system.

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