AustralieFrV1, Main, Exploration, bibRecord, 003F41

The CAVE Score for Predicting Late Seizures After Intracerebral Hemorrhage

Identifieur interne : 003F41 ( Main/Exploration ); précédent : 003F40; suivant : 003F42

The CAVE Score for Predicting Late Seizures After Intracerebral Hemorrhage

Auteurs : Elena Haapaniemi [Finlande] ; Daniel Strbian [Finlande] ; Costanza Rossi [France] ; Jukka Putaala [Finlande] ; Tuulia Sipi [Finlande] ; Satu Mustanoja [Finlande] ; Tiina Sairanen [Finlande] ; Sami Curtze [Finlande] ; Jarno Satop [Finlande] ; Reina Roivainen [Finlande] ; Markku Kaste [Finlande] ; Charlotte Cordonnier [France] ; Turgut Tatlisumak [Finlande] ; Atte Meretoja [Finlande, Australie]

Source :

Stroke : (1970) [ 0039-2499 ] ; 2014.

RBID : Pascal:14-0196084

Descripteurs français

Pascal (Inist)
- Epilepsie, Convulsion, Hémorragie cérébrale, Pathologie du système nerveux, Pathologie cérébrovasculaire, Accident cérébrovasculaire.

English descriptors

KwdEn :
- Cerebral hemorrhage, Cerebrovascular disease, Convulsion, Epilepsy, Nervous system diseases, Stroke.

Abstract

Background and Purpose-Seizures are a common complication of intracerebral hemorrhage (ICH). We developed a novel tool to quantify this risk in individual patients. Methods-Retrospective analysis of the observational Helsinki ICH Study (n=993; median follow-up, 2.7 years) and the Lille Prognosis of InTra-Cerebral Hemorrhage (n=325; 2.2 years) cohorts of consecutive ICH patients admitted between 2004 and 2010. Helsinki ICH Study patients' province-wide electronic records were evaluated for early seizures occurring within 7 days of ICH and among 7-day survivors (n=764) for late seizures (LSs) occurring >7 days from ICH. A Cox regression model estimating risk of LSs was used to derive a prognostic score, validated in the Prognosis of InTra-Cerebral Hemorrhage cohort. Results-Of the Helsinki ICH Study patients, 109 (11.0%) had early seizures within 7 days of ICH. Among the 7-day survivors, 70 (9.2%) patients developed LSs. The cumulative risk of LSs was 7.1%, 10.0%, 10.2%, 11.0%, and 11.8% at 1 to 5 years after ICH, respectively. We created the CAVE score (0-4 points) to estimate the risk of LSs, with 1 point for each of cortical involvement, age <65 years, volume >10 mL, and early seizures within 7 days of ICH. The risk of LSs was 0.6%, 3.6%, 9.8%, 34.8%, and 46.2% for CAVE scores 0 to 4, respectively. The c-statistic was 0.81 (0.76-0.86) and 0.69 (0.59-0.78) in the validation cohort. Conclusions-One in 10 patients will develop seizures after ICH. The risk of this adverse outcome can be estimated by a simple score based on baseline variables.

Affiliations:

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The CAVE Score for Predicting Late Seizures After Intracerebral Hemorrhage</title>
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<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
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<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Kaste, Markku" sort="Kaste, Markku" uniqKey="Kaste M" first="Markku" last="Kaste">Markku Kaste</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Helsinki University Central Hospital</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cordonnier, Charlotte" sort="Cordonnier, Charlotte" uniqKey="Cordonnier C" first="Charlotte" last="Cordonnier">Charlotte Cordonnier</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Neurology Department, EA 1046, Université Lille Nord de France, CHU Lille</s1>
<s2>Lille</s2>
<s3>FRA</s3>
<sZ>3 aut.</sZ>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Hauts-de-France</region>
<region type="old region">Nord-Pas-de-Calais</region>
<settlement type="city">Lille</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tatlisumak, Turgut" sort="Tatlisumak, Turgut" uniqKey="Tatlisumak T" first="Turgut" last="Tatlisumak">Turgut Tatlisumak</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Helsinki University Central Hospital</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Meretoja, Atte" sort="Meretoja, Atte" uniqKey="Meretoja A" first="Atte" last="Meretoja">Atte Meretoja</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Helsinki University Central Hospital</s1>
<s2>Helsinki</s2>
<s3>FIN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Finlande</country>
<wicri:noRegion>Helsinki</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Departments of Medicine and the Florey, University of Melbourne</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
<settlement type="city">Melbourne</settlement>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Stroke : (1970)</title>
<title level="j" type="abbreviated">Stroke : (1970)</title>
<idno type="ISSN">0039-2499</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Stroke : (1970)</title>
<title level="j" type="abbreviated">Stroke : (1970)</title>
<idno type="ISSN">0039-2499</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebral hemorrhage</term>
<term>Cerebrovascular disease</term>
<term>Convulsion</term>
<term>Epilepsy</term>
<term>Nervous system diseases</term>
<term>Stroke</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Epilepsie</term>
<term>Convulsion</term>
<term>Hémorragie cérébrale</term>
<term>Pathologie du   système nerveux</term>
<term>Pathologie cérébrovasculaire</term>
<term>Accident cérébrovasculaire</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background and Purpose-Seizures are a common complication of intracerebral hemorrhage (ICH). We developed a novel tool to quantify this risk in individual patients. Methods-Retrospective analysis of the observational Helsinki ICH Study (n=993; median follow-up, 2.7 years) and the Lille Prognosis of InTra-Cerebral Hemorrhage (n=325; 2.2 years) cohorts of consecutive ICH patients admitted between 2004 and 2010. Helsinki ICH Study patients' province-wide electronic records were evaluated for early seizures occurring within 7 days of ICH and among 7-day survivors (n=764) for late seizures (LSs) occurring >7 days from ICH. A Cox regression model estimating risk of LSs was used to derive a prognostic score, validated in the Prognosis of InTra-Cerebral Hemorrhage cohort. Results-Of the Helsinki ICH Study patients, 109 (11.0%) had early seizures within 7 days of ICH. Among the 7-day survivors, 70 (9.2%) patients developed LSs. The cumulative risk of LSs was 7.1%, 10.0%, 10.2%, 11.0%, and 11.8% at 1 to 5 years after ICH, respectively. We created the CAVE score (0-4 points) to estimate the risk of LSs, with 1 point for each of cortical involvement, age <65 years, volume >10 mL, and early seizures within 7 days of ICH. The risk of LSs was 0.6%, 3.6%, 9.8%, 34.8%, and 46.2% for CAVE scores 0 to 4, respectively. The c-statistic was 0.81 (0.76-0.86) and 0.69 (0.59-0.78) in the validation cohort. Conclusions-One in 10 patients will develop seizures after ICH. The risk of this adverse outcome can be estimated by a simple score based on baseline variables.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Finlande</li>
<li>France</li>
</country>
<region><li>Hauts-de-France</li>
<li>Nord-Pas-de-Calais</li>
<li>Victoria (État)</li>
</region>
<settlement><li>Lille</li>
<li>Melbourne</li>
</settlement>
<orgName><li>Université de Melbourne</li>
</orgName>
</list>
<tree><country name="Finlande"><noRegion><name sortKey="Haapaniemi, Elena" sort="Haapaniemi, Elena" uniqKey="Haapaniemi E" first="Elena" last="Haapaniemi">Elena Haapaniemi</name>
</noRegion>
<name sortKey="Curtze, Sami" sort="Curtze, Sami" uniqKey="Curtze S" first="Sami" last="Curtze">Sami Curtze</name>
<name sortKey="Kaste, Markku" sort="Kaste, Markku" uniqKey="Kaste M" first="Markku" last="Kaste">Markku Kaste</name>
<name sortKey="Meretoja, Atte" sort="Meretoja, Atte" uniqKey="Meretoja A" first="Atte" last="Meretoja">Atte Meretoja</name>
<name sortKey="Mustanoja, Satu" sort="Mustanoja, Satu" uniqKey="Mustanoja S" first="Satu" last="Mustanoja">Satu Mustanoja</name>
<name sortKey="Putaala, Jukka" sort="Putaala, Jukka" uniqKey="Putaala J" first="Jukka" last="Putaala">Jukka Putaala</name>
<name sortKey="Roivainen, Reina" sort="Roivainen, Reina" uniqKey="Roivainen R" first="Reina" last="Roivainen">Reina Roivainen</name>
<name sortKey="Sairanen, Tiina" sort="Sairanen, Tiina" uniqKey="Sairanen T" first="Tiina" last="Sairanen">Tiina Sairanen</name>
<name sortKey="Satop, Jarno" sort="Satop, Jarno" uniqKey="Satop J" first="Jarno" last="Satop">Jarno Satop</name>
<name sortKey="Sipi, Tuulia" sort="Sipi, Tuulia" uniqKey="Sipi T" first="Tuulia" last="Sipi">Tuulia Sipi</name>
<name sortKey="Strbian, Daniel" sort="Strbian, Daniel" uniqKey="Strbian D" first="Daniel" last="Strbian">Daniel Strbian</name>
<name sortKey="Tatlisumak, Turgut" sort="Tatlisumak, Turgut" uniqKey="Tatlisumak T" first="Turgut" last="Tatlisumak">Turgut Tatlisumak</name>
</country>
<country name="France"><region name="Hauts-de-France"><name sortKey="Rossi, Costanza" sort="Rossi, Costanza" uniqKey="Rossi C" first="Costanza" last="Rossi">Costanza Rossi</name>
</region>
<name sortKey="Cordonnier, Charlotte" sort="Cordonnier, Charlotte" uniqKey="Cordonnier C" first="Charlotte" last="Cordonnier">Charlotte Cordonnier</name>
</country>
<country name="Australie"><region name="Victoria (État)"><name sortKey="Meretoja, Atte" sort="Meretoja, Atte" uniqKey="Meretoja A" first="Atte" last="Meretoja">Atte Meretoja</name>
</region>
</country>
</tree>
</affiliations>
</record>

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The CAVE Score for Predicting Late Seizures After Intracerebral Hemorrhage

The CAVE Score for Predicting Late Seizures After Intracerebral Hemorrhage

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