Description

Risselada et al developed an equation for predicting 60-day mortality following subarachnoid hemorrhage from a ruptured intracranial aneurysm. The authors are from multiple hospitals in Europe.


Patient selection: ruptured aneurysm with subarachnoid hemorrhage

 

Outcome: 60-day mortality

 

Parameters:

(1) age in years in decades

(2) Fisher grade

(3) World Dederation of Neurological Societies (WFNS) grade

(4) luminal diameter of the aneurysm in mm

 

Parameter

Finding

Points

age in years

 

(0.2762 * (age) / 10)

Fisher

Grade I

0

 

Grade II

0.3572

 

Grade III

0.9756

 

Grade IV

1.008

WFNS

Grade 1

0

 

Grade 2

0.6216

 

Grade 3

0.5261

 

Grade 4

1.574

 

Grade 5

1.934

 

not assessed

1.738

size

 

(0.07662 * (size))

 

X =

= SUM(points for all 4 parameters) - 5.812

 

probability of 60-day mortality =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.70.


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