Validation of the DRAGON score in 12 stroke centers in anterior and posterior circulation.
Identifieur interne : 003882 ( PubMed/Checkpoint ); précédent : 003881; suivant : 003883Validation of the DRAGON score in 12 stroke centers in anterior and posterior circulation.
Auteurs : Daniel Strbian ; David J. Seiffge ; Lorenz Breuer ; Heikki Numminen ; Patrik Michel ; Atte Meretoja ; Skye Coote ; Régis Bordet ; Victor Obach ; Bruno Weder ; Simon Jung ; Valeria Caso ; Sami Curtze ; Jyrki Ollikainen ; Philippe A. Lyrer ; Ashraf Eskandari ; Heinrich P. Mattle ; Angel Chamorro ; Didier Leys ; Christopher Bladin ; Stephen M. Davis ; Martin Köhrmann ; Stefan T. Engelter ; Turgut TatlisumakSource :
- Stroke [ 1524-4628 ] ; 2013.
Descripteurs français
- KwdFr :
- Accident vasculaire cérébral (), Accident vasculaire cérébral (mortalité), Accident vasculaire cérébral (physiopathologie), Adulte d'âge moyen, Encéphalopathie ischémique (), Encéphalopathie ischémique (mortalité), Encéphalopathie ischémique (physiopathologie), Femelle, Humains, Indice de gravité médicale, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement thrombolytique, Valeur prédictive des tests, Études prospectives.
- MESH :
- mortalité : Accident vasculaire cérébral, Encéphalopathie ischémique.
- physiopathologie : Accident vasculaire cérébral, Encéphalopathie ischémique.
- Accident vasculaire cérébral, Adulte d'âge moyen, Encéphalopathie ischémique, Femelle, Humains, Indice de gravité médicale, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Traitement thrombolytique, Valeur prédictive des tests, Études prospectives.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Brain Ischemia (mortality), Brain Ischemia (physiopathology), Brain Ischemia (therapy), Female, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Severity of Illness Index, Stroke (mortality), Stroke (physiopathology), Stroke (therapy), Thrombolytic Therapy.
- MESH :
- mortality : Brain Ischemia, Stroke.
- physiopathology : Brain Ischemia, Stroke.
- therapy : Brain Ischemia, Stroke.
- Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Prospective Studies, Severity of Illness Index, Thrombolytic Therapy.
Abstract
The DRAGON score predicts functional outcome in the hyperacute phase of intravenous thrombolysis treatment of ischemic stroke patients. We aimed to validate the score in a large multicenter cohort in anterior and posterior circulation.
DOI: 10.1161/STROKEAHA.113.002033
PubMed: 23929752
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:23929752Le document en format XML
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<term>Aged, 80 and over</term>
<term>Brain Ischemia (mortality)</term>
<term>Brain Ischemia (physiopathology)</term>
<term>Brain Ischemia (therapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
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<term>Severity of Illness Index</term>
<term>Stroke (mortality)</term>
<term>Stroke (physiopathology)</term>
<term>Stroke (therapy)</term>
<term>Thrombolytic Therapy</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Accident vasculaire cérébral ()</term>
<term>Accident vasculaire cérébral (mortalité)</term>
<term>Accident vasculaire cérébral (physiopathologie)</term>
<term>Adulte d'âge moyen</term>
<term>Encéphalopathie ischémique ()</term>
<term>Encéphalopathie ischémique (mortalité)</term>
<term>Encéphalopathie ischémique (physiopathologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Traitement thrombolytique</term>
<term>Valeur prédictive des tests</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Brain Ischemia</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Encéphalopathie ischémique</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Accident vasculaire cérébral</term>
<term>Encéphalopathie ischémique</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain Ischemia</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Brain Ischemia</term>
<term>Stroke</term>
</keywords>
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<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Predictive Value of Tests</term>
<term>Prospective Studies</term>
<term>Severity of Illness Index</term>
<term>Thrombolytic Therapy</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Encéphalopathie ischémique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en">The DRAGON score predicts functional outcome in the hyperacute phase of intravenous thrombolysis treatment of ischemic stroke patients. We aimed to validate the score in a large multicenter cohort in anterior and posterior circulation.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23929752</PMID>
<DateCreated><Year>2013</Year>
<Month>09</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2013</Year>
<Month>12</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4628</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>44</Volume>
<Issue>10</Issue>
<PubDate><Year>2013</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Stroke</Title>
<ISOAbbreviation>Stroke</ISOAbbreviation>
</Journal>
<ArticleTitle>Validation of the DRAGON score in 12 stroke centers in anterior and posterior circulation.</ArticleTitle>
<Pagination><MedlinePgn>2718-21</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1161/STROKEAHA.113.002033</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">The DRAGON score predicts functional outcome in the hyperacute phase of intravenous thrombolysis treatment of ischemic stroke patients. We aimed to validate the score in a large multicenter cohort in anterior and posterior circulation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Prospectively collected data of consecutive ischemic stroke patients who received intravenous thrombolysis in 12 stroke centers were merged (n=5471). We excluded patients lacking data necessary to calculate the score and patients with missing 3-month modified Rankin scale scores. The final cohort comprised 4519 eligible patients. We assessed the performance of the DRAGON score with area under the receiver operating characteristic curve in the whole cohort for both good (modified Rankin scale score, 0-2) and miserable (modified Rankin scale score, 5-6) outcomes.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Area under the receiver operating characteristic curve was 0.84 (0.82-0.85) for miserable outcome and 0.82 (0.80-0.83) for good outcome. Proportions of patients with good outcome were 96%, 93%, 78%, and 0% for 0 to 1, 2, 3, and 8 to 10 score points, respectively. Proportions of patients with miserable outcome were 0%, 2%, 4%, 89%, and 97% for 0 to 1, 2, 3, 8, and 9 to 10 points, respectively. When tested separately for anterior and posterior circulation, there was no difference in performance (P=0.55); areas under the receiver operating characteristic curve were 0.84 (0.83-0.86) and 0.82 (0.78-0.87), respectively. No sex-related difference in performance was observed (P=0.25).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The DRAGON score showed very good performance in the large merged cohort in both anterior and posterior circulation strokes. The DRAGON score provides rapid estimation of patient prognosis and supports clinical decision-making in the hyperacute phase of stroke care (eg, when invasive add-on strategies are considered).</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Strbian</LastName>
<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>From the Department of Neurology and Stroke Unit, Helsinki University Central Hospital, Helsinki, Finland (D.S., A.M., S.C., T.T.); Neurology and Stroke Center, University Hospital Basel, Basel, Switzerland (D.J.S., P.A.L., S.T.E.); Department of Neurology, Universitätsklinikum Erlangen, Erlangen, Germany (L.B., M.K.); Department of Neurology, Tampere University Hospital, Tampere, Finland (H.N., J.O.); Department of Neurology, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland (P.M., A.E.); Department of Neurology, The Royal Melbourne Hospital, Parkville, Australia (A.M., C.B., S.M.D.); Department of Neurology, Box Hill Hospital, Box Hill, Australia (S.C., C.B.); Department of Neurology, University Lille Nord de France, Lille, France (R.B., D.L.); Department of Neurology, Hospital Clínic Institut d'Investigacions Biomediques August Pi i Sunyer, Barcelona, Spain (V.O., A.C.); Department of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland (B.W.); Department of Neurology, University of Bern, Bern, Switzerland (S.J., H.P.M.); and Department of Neurology, University of Perugia, Perugia, Italy (V.C.).</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Seiffge</LastName>
<ForeName>David J</ForeName>
<Initials>DJ</Initials>
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<Author ValidYN="Y"><LastName>Breuer</LastName>
<ForeName>Lorenz</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Numminen</LastName>
<ForeName>Heikki</ForeName>
<Initials>H</Initials>
</Author>
<Author ValidYN="Y"><LastName>Michel</LastName>
<ForeName>Patrik</ForeName>
<Initials>P</Initials>
</Author>
<Author ValidYN="Y"><LastName>Meretoja</LastName>
<ForeName>Atte</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Coote</LastName>
<ForeName>Skye</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Bordet</LastName>
<ForeName>Régis</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Obach</LastName>
<ForeName>Victor</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y"><LastName>Weder</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
</Author>
<Author ValidYN="Y"><LastName>Jung</LastName>
<ForeName>Simon</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Caso</LastName>
<ForeName>Valeria</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y"><LastName>Curtze</LastName>
<ForeName>Sami</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Ollikainen</LastName>
<ForeName>Jyrki</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Lyrer</LastName>
<ForeName>Philippe A</ForeName>
<Initials>PA</Initials>
</Author>
<Author ValidYN="Y"><LastName>Eskandari</LastName>
<ForeName>Ashraf</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Mattle</LastName>
<ForeName>Heinrich P</ForeName>
<Initials>HP</Initials>
</Author>
<Author ValidYN="Y"><LastName>Chamorro</LastName>
<ForeName>Angel</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Leys</LastName>
<ForeName>Didier</ForeName>
<Initials>D</Initials>
</Author>
<Author ValidYN="Y"><LastName>Bladin</LastName>
<ForeName>Christopher</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Davis</LastName>
<ForeName>Stephen M</ForeName>
<Initials>SM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Köhrmann</LastName>
<ForeName>Martin</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Engelter</LastName>
<ForeName>Stefan T</ForeName>
<Initials>ST</Initials>
</Author>
<Author ValidYN="Y"><LastName>Tatlisumak</LastName>
<ForeName>Turgut</ForeName>
<Initials>T</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>08</Month>
<Day>08</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Stroke</MedlineTA>
<NlmUniqueID>0235266</NlmUniqueID>
<ISSNLinking>0039-2499</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002545" MajorTopicYN="N">Brain Ischemia</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012720" MajorTopicYN="Y">Severity of Illness Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015912" MajorTopicYN="Y">Thrombolytic Therapy</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ischemic stroke</Keyword>
<Keyword MajorTopicYN="N">outcome</Keyword>
<Keyword MajorTopicYN="N">prognosis</Keyword>
<Keyword MajorTopicYN="N">thrombolysis</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year>
<Month>8</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2013</Year>
<Month>8</Month>
<Day>10</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2013</Year>
<Month>12</Month>
<Day>16</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">23929752</ArticleId>
<ArticleId IdType="pii">STROKEAHA.113.002033</ArticleId>
<ArticleId IdType="doi">10.1161/STROKEAHA.113.002033</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list></list>
<tree><noCountry><name sortKey="Bladin, Christopher" sort="Bladin, Christopher" uniqKey="Bladin C" first="Christopher" last="Bladin">Christopher Bladin</name>
<name sortKey="Bordet, Regis" sort="Bordet, Regis" uniqKey="Bordet R" first="Régis" last="Bordet">Régis Bordet</name>
<name sortKey="Breuer, Lorenz" sort="Breuer, Lorenz" uniqKey="Breuer L" first="Lorenz" last="Breuer">Lorenz Breuer</name>
<name sortKey="Caso, Valeria" sort="Caso, Valeria" uniqKey="Caso V" first="Valeria" last="Caso">Valeria Caso</name>
<name sortKey="Chamorro, Angel" sort="Chamorro, Angel" uniqKey="Chamorro A" first="Angel" last="Chamorro">Angel Chamorro</name>
<name sortKey="Coote, Skye" sort="Coote, Skye" uniqKey="Coote S" first="Skye" last="Coote">Skye Coote</name>
<name sortKey="Curtze, Sami" sort="Curtze, Sami" uniqKey="Curtze S" first="Sami" last="Curtze">Sami Curtze</name>
<name sortKey="Davis, Stephen M" sort="Davis, Stephen M" uniqKey="Davis S" first="Stephen M" last="Davis">Stephen M. Davis</name>
<name sortKey="Engelter, Stefan T" sort="Engelter, Stefan T" uniqKey="Engelter S" first="Stefan T" last="Engelter">Stefan T. Engelter</name>
<name sortKey="Eskandari, Ashraf" sort="Eskandari, Ashraf" uniqKey="Eskandari A" first="Ashraf" last="Eskandari">Ashraf Eskandari</name>
<name sortKey="Jung, Simon" sort="Jung, Simon" uniqKey="Jung S" first="Simon" last="Jung">Simon Jung</name>
<name sortKey="Kohrmann, Martin" sort="Kohrmann, Martin" uniqKey="Kohrmann M" first="Martin" last="Köhrmann">Martin Köhrmann</name>
<name sortKey="Leys, Didier" sort="Leys, Didier" uniqKey="Leys D" first="Didier" last="Leys">Didier Leys</name>
<name sortKey="Lyrer, Philippe A" sort="Lyrer, Philippe A" uniqKey="Lyrer P" first="Philippe A" last="Lyrer">Philippe A. Lyrer</name>
<name sortKey="Mattle, Heinrich P" sort="Mattle, Heinrich P" uniqKey="Mattle H" first="Heinrich P" last="Mattle">Heinrich P. Mattle</name>
<name sortKey="Meretoja, Atte" sort="Meretoja, Atte" uniqKey="Meretoja A" first="Atte" last="Meretoja">Atte Meretoja</name>
<name sortKey="Michel, Patrik" sort="Michel, Patrik" uniqKey="Michel P" first="Patrik" last="Michel">Patrik Michel</name>
<name sortKey="Numminen, Heikki" sort="Numminen, Heikki" uniqKey="Numminen H" first="Heikki" last="Numminen">Heikki Numminen</name>
<name sortKey="Obach, Victor" sort="Obach, Victor" uniqKey="Obach V" first="Victor" last="Obach">Victor Obach</name>
<name sortKey="Ollikainen, Jyrki" sort="Ollikainen, Jyrki" uniqKey="Ollikainen J" first="Jyrki" last="Ollikainen">Jyrki Ollikainen</name>
<name sortKey="Seiffge, David J" sort="Seiffge, David J" uniqKey="Seiffge D" first="David J" last="Seiffge">David J. Seiffge</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>
<name sortKey="Weder, Bruno" sort="Weder, Bruno" uniqKey="Weder B" first="Bruno" last="Weder">Bruno Weder</name>
</noCountry>
</tree>
</affiliations>
</record>
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