A Study of the Evaluation of the Prognosis of Acute Stroke by APACHEⅢ Scoring System and Its Correlating Factors / 昆明医科大学学报

ABSTRACT

Objective To evaluate the prognosis of acute stroke by APACHEⅢ scoring system on and analyze some correlating factors.Methods 136 patients with acute stroke received APACHEⅢ scoring every day in the first week of their admission of hospital.All patients were divided into different groups respectively death group and alive group according to the outcome of disease,midline group and non-midline group according to the location of illness,large-focus group and small-focus group in terms of volume of cerebral hemorrhage or cerebral infarction.Results APACHEⅢ scores of death group,midline group and large-focus group show significant differences from those of the other groups(alive group,non-midline group and small-focus group).The former is much higher than that of the latter.The highest accuracy can be observed when predicted mortality is 0.4.Conclusion The APACHEⅢ scoring system is a valuable reference for evaluating the severity and prognosis of acute stroke.