Can demographic and admission laboratory variables be useful to identify long-stay patients with acute ischemic stroke? A hospital-based cohort study in Singapore.
The demographic and laboratory predictors of long-stay patients with ischemic stroke were sought in this retrospective hospital-based study. In the univariate and multivariate analysis, advanced age, male gender, leukocytosis, elevated creatinine, low-serum albumin, elevated alkaline transaminases, and lactate dehydrogenase were identified as independent predictors of "long" stayers. At an optimal probability cut-offs, the receiver operating curve incorporating these variables was 0.70, sensitivity 68%, specificity 80%, positive-predictive value 39% and negative-predictive value 95%. Application of this information may assist physicians to triage patients at risk of severe stroke for early therapy and care.
Seet
Raymond C S
RC
Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. raymond_seet@nus.edu.sg
Lim
Erle C H
EC
Chan
Y H
YH
Chan
Bernard P L
BP
Quek
Amy M L
AM
Ong
Benjamin K C
BK
D000368:Aged; D001772:Blood Cell Count; D001774:Blood Chemical Analysis; D002545:Brain Ischemia / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D015331:Cohort Studies; D003710:Demography; D003955:Diagnostic Tests, Routine; D005260:Female; D005334:Fever / Q000150:complications / Q000453:epidemiology; D015600:Glasgow Coma Scale; D006801:Humans; D007902:Length of Stay; D008111:Liver Function Tests; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D012372:ROC Curve; D012189:Retrospective Studies; D012307:Risk Factors; D012846:Singapore / Q000453:epidemiology; D012959:Socioeconomic Factors; D020521:Stroke / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology; D016896:Treatment Outcome