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DRAGON Score

DRAGON Score. Strbian , D, et al Predicting outcome of IV thrombolysis treated ischemic stroke patients . The DRAGON score. Neurology 2012;78:427–432. Introducción. Rha , J, et al. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007;38:967–973.

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DRAGON Score

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  1. DRAGON Score Strbian, D, et alPredicting outcome of IV thrombolysistreatedischemicstrokepatients. TheDRAGON score. Neurology2012;78:427–432

  2. Introducción Rha, J, et al. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007;38:967–973.

  3. Introducción Rha, J, et al. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke 2007;38:967–973.

  4. Introducción Glucosa CT • Reoclusión • Recanalización con Perfusión Insuficiente • Recanalización con hemorragia • Recanalización con Territorio previamente • dañado Resultado Final Bueno Resultado Final Con Cx Meretoja, A. et al. Off-labelthrombolysisis not associated with poor outcome in patients with stroke. Stroke 2010;41:1450 –1458.

  5. Justificación

  6. D – ACM HiperDensa R – mRS (Escala de Rankin Modificada) A – Age(Edad) G – Glucemia O – On set totreatment(tiempo de inicio a Tratamiento) N – NIHSS (Escala de Stroke de los Institutos Nacionales de Salud)

  7. D 1.- Signo de arteria Cerebral Media hiperDensa 2.- OtroscambiosTempranos TC: Pérdida de diferenciaciónCortezasustancia Blanca Hipodensidad de GB Atenuación Insular Puntaje: Ambos =2 Cualquiera=1 Ninguno=0

  8. R • Escala de Rankin modificada • Puntajeprevio>1 = 1

  9. A – Age Edad >80 Años = 2 65 –79 Años = 1 < 65 Años = 0

  10. G - Glucosa • Niveles séricos de glucosa al ingreso • > 144 mg/dL = 1

  11. O – Onset Time Tiempo > 90 minutos = 1

  12. N – NIHSS >15 =3 10–15 =2 5–9 =1 0–4 =0

  13. Strbian, D, et alPredicting outcome of IV thrombolysistreatedischemicstrokepatients. TheDRAGON score. Neurology2012;78:427–432

  14. Proporción de pacientes con resultado favorable Strbian, D, et alPredicting outcome of IV thrombolysistreatedischemicstrokepatients. TheDRAGON score. Neurology2012;78:427–432

  15. Strbian, D, et alPredicting outcome of IV thrombolysistreatedischemicstrokepatients. TheDRAGON score. Neurology2012;78:427–432

  16. Auc = .84 • [0.5, 6] = Test malo. • [0.6, 0.75] = Test regular. • [0.75, 0.9] = Test bueno. • [0.9, 0.97] = Test muybueno. • [0.97, 1] = Test excelente. ZouK, et al. Receiver-operating characteristic analysis for evaluating diagnostic tests and predictive models. Circulation, 6;115(5):654-7.

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