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Index score-based prediction model for MIS (Minor Ischemic Stroke) patient

A technology for ischemic stroke and prediction model, applied in the medical field, can solve the problems of lack of injury, cognitive abnormality of executive function, undiscovered and other problems, and achieve the effect of increasing accuracy and good index analysis ability

Inactive Publication Date: 2020-12-25
THE FIRST PEOPLES HOSPITAL OF CHANGZHOU
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Although the NIHSS score is an appropriate tool for assessing stroke severity, it is flawed for patients with MIS
The NIHSS score fails to capture some important deficits that may affect patients' functional outcomes, such as hand strength and dexterity, gait, and subtle nondominant hemispheric and executive function cognitive abnormalities
Moreover, the deficits in MIS patients are often subtle and may go undetected due to the lack of obvious lesions
It is precisely because MIS patients have mild symptoms and are easy to be ignored, the prognosis of MIS patients may not be accurate enough to predict the prognosis of MIS patients using the model of ischemic stroke

Method used

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  • Index score-based prediction model for MIS (Minor Ischemic Stroke) patient

Examples

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Effect test

Embodiment 1

[0036] refer to figure 1, a predictive model for patients with mild ischemic stroke based on index scores, including the following steps:

[0037] S1. Collect clinical data and perform preprocessing, and use the collected and preprocessed clinical data to construct the inclusion criteria for MIS patients;

[0038] S2. Collect basic data and record and store;

[0039] S3. Follow up the SVE situation of the personnel whose basic data are collected;

[0040] S4. Statistical construction of predictive model: use the multi-factor Logistic regression method to establish a predictive model, and select the best model parameters according to the minimum Akaike information standard, calculate the odds ratio and 95% confidence interval, draw the nomogram of the predictive model, and pass The nomogram obtained the predicted results.

[0041] The analysis shows that this predictive model for patients with mild ischemic stroke based on index scores solves the problem of low accuracy in p...

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Abstract

The invention discloses an index score-based prediction model for an MIS (Minor Ischemic Stroke) patient. The index score-based prediction model for the MIS patient is characterized by comprising thefollowing steps of Step 1, collecting and preprocessing clinical data, and constructing a grouping standard of the MIS patient through the collected and preprocessed clinical data; Step 2, collecting,recording and storing basic data; Step 3, performing SVE condition follow-up visit on personnel from whom basic data is collected; and Step 4, counting and constructing a prediction model: building aprediction model by a multi-factor Logistic regression method, and selecting optimal model parameters according to a minimum Akaike pool information standard. The index score-based prediction model for the MIS patient provided by the invention has the advantages that the problem of poor prognosis accuracy when a cerebral ischemic stroke model is used for predicting the MIS patient is solved; through the prediction model, the SVE occurrence rate is calculated; clinicians can be guided to perform risk grading on the MIS patient; grading management is used for the patients with different risks;and the occurrence of SVE complications is prevented.

Description

technical field [0001] The invention relates to the medical field, and more specifically, it relates to a predictive model for patients with mild ischemic stroke based on index scores. Background technique [0002] There are about 3 million new strokes in China every year, about 30% of which are mild ischemic stroke (MIS, minorischemic stroke). The NIHSS scores of MIS patients are low (all ≤ 3). Due to their mild symptoms, they are easily overlooked, resulting in high mortality and disability rates. MIS is a disease that threatens human health and life. Therefore, in the early stages of clinical management, it is very important to be able to promptly screen out patients with MIS who are at risk of poor prognosis. [0003] Many factors are closely related to the occurrence of subsequent vascular events (SVE, subsequent vascular events) in MIS. Studies have shown that the poor prognosis of MIS is related to advanced age, female sex, diabetes and positive MRI diffusion-weigh...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B34/10
CPCA61B34/10A61B2034/105
Inventor 杨玉娇丁怡王智刚
Owner THE FIRST PEOPLES HOSPITAL OF CHANGZHOU
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