Journal of Capital Medical University ›› 2024, Vol. 45 ›› Issue (2): 348-355.doi: 10.3969/j.issn.1006-7795.2024.02.024

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A risk model to predict the in-hospital mortality of subarachnoid hemorrhage

Tuo Lin1, Bao Xiaoyuan2*   

  1. 1.Hospital Management Department, Peking University Health Science Center, Beijing 100191, China;2.Medical Informatics Center, Institute of Advanced Clinical Medicine, Peking University, Beijing 100191, China
  • Received:2024-02-23 Online:2024-04-21 Published:2024-04-25

Abstract: Objective  Subarachnoid hemorrhage is a severe disease with high mortality and disability rate. The aim of this study is to develop a model to predict the in-hospital mortality of subarachnoid hemorrhage. Methods  Seven hundred and ninty-seven patients with subarachnoid hemorrhage are extracted from 10 hospitals affiliated to Peking University during a 5-year period (2014-2018). A univariate Logistic regression and a multivariate Logistic regression are used to find the predictive factors for subarachnoid hemorrhage. A nomogram was constructed to predict the mortality. Results  Of the included patients, the mortality rate is 7.53%. The predictors are aneurysm, heart disease, brain herniation, intracerebral hematoma, coma, pulmonary infection, respiratory failure and pneumonia (P<0.05). The area under the curve of the nomogram is 0.860 (95%CI:0.809-0.911). Conclusion  An accurate nomogram is developed to predict the in-hospital mortality of patients with subarachnoid hemorrhage. It will help reduce the mortality rates.

Key words: subarachnoid hemorrhage, nomogram, hospital mortality, risk model

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