• J. Neurol. Neurosurg. Psychiatr. · Nov 2018

    Multicenter Study

    International multicentre validation of the arteriovenous malformation-related intracerebral haemorrhage (AVICH) score.

    • Marian C Neidert, Michael T Lawton, Louis J Kim, John D Nerva, Kaoru Kurisu, Fusao Ikawa, Juergen Konczalla, Nazife Dinc, Volker Seifert, Julian Habdank-Kolaczkowski, Taketo Hatano, Makoto Hayase, Dino Podlesek, Gabriele Schackert, Thomas Wanet, Sven Gläsker, Christoph J Griessenauer, Christopher S Ogilvy, Andreas Kneist, Ulrich Sure, Burkhardt Seifert, Luca Regli, Oliver Bozinov, and Jan-Karl Burkhardt.
    • Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland.
    • J. Neurol. Neurosurg. Psychiatr. 2018 Nov 1; 89 (11): 1163-1166.

    ObjectiveThe recently published arteriovenous malformation-related intracerebral haemorrhage (AVICH) score showed better outcome prediction for patients with arteriovenous malformation (AVM)-related intracerebral haemorrhage (ICH) than other AVM or ICH scores. Here we present the results of a multicentre, external validation of the AVICH score.MethodsAll participating centres (n=11) provided anonymous data on 325 patients to form the Spetzler-Martin (SM) grade, the supplemented SM (sSM) grade, the ICH score and the AVICH score. Modified Rankin score (mRS) at last follow-up (mean 25.6 months) was dichotomized into favourable (mRS 0-2, n=210) and unfavourable (mRS 3-6;n=115). Univariate and AUROC analyses were performed to validate the AVICH score.ResultsExcept nidus structure and AVM size, all single parameters forming the SM, sSM, ICH and AVICH score and the scores itself were significantly different between both outcome groups in the univariate analysis. The AVICH score was confirmed to be the highest predictive outcome score with an AUROC of 0.765 compared with 0.705 for the ICH score and 0.682 for the sSM grade.ConclusionThe multicentre-validated AVICH score predicts clinical outcome superior to pre-existing scores. We suggest the routine use of this score for future clinical outcome prediction and in clinical research.Trial Registration NumberNCT02920645.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.