Validation and comparison of models predicting survival following intracerebral hemorrhage

Crit Care Med. 1995 May;23(5):950-4. doi: 10.1097/00003246-199505000-00026.

Abstract

Objective: To compare the performance of two previously reported logistic regression models using data independent from those data used to derive the models.

Design: Prospective.

Setting: Acute stroke unit of a tertiary care hospital.

Patients: One hundred twenty-nine patients with supratentorial intracerebral hemorrhage.

Measurements and main results: Model 1 contains the initial Glasgow Coma Scale score, hemorrhage size, and pulse pressure. The more complex model 2 includes, in addition to those three variables, the presence or absence of intraventricular hemorrhage and a term representing the interaction of intraventricular hemorrhage and Glasgow Coma Scale score. The areas under the receiver operating characteristic curves generated for each model were statistically indistinguishable.

Conclusions: Model 1 predicts 30-day patient status as well as the more complex model 2. Model 1 provides a valid, easy-to-use means of categorizing supratentorial intracerebral hemorrhage patients in terms of their probability of survival.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cerebral Hemorrhage / mortality*
  • Glasgow Coma Scale
  • Humans
  • Logistic Models
  • Models, Statistical*
  • New York City / epidemiology
  • Prognosis
  • Prospective Studies
  • ROC Curve
  • Reproducibility of Results
  • Risk Factors
  • Survival Analysis