Hunt and Hess classification of subarachnoid hemorrhage - Evidencio
Hunt and Hess classification of subarachnoid hemorrhage
The Hunt and Hess classification enables classification of the severity of a subarachnoid hemorrhage and predicts its mortality.
Autores de la investigación: Hunt WE, Hess RM
Versión: 1.16
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Hunt & Hess risk score: points

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Información condicional

 

Model performance:
  • In a study bij Hunt & Huss (1968) including 275 cases, the mortality was 20% for patients admitted to the hospital at grade I or II, whereas in patients who reached the operating room for any procedure whatever at grade I or II, it was 14%. The difference in mortality was due to a number of instances of early fatal rebleeding. 
  • Worldwide, different scales are used to assess the clinical condition on admission after aneurysmal subarachnoid hemorrhage. In addition to the prognostic value, the inter-rater variability should be taken into account when deciding which scale preferably should be used.
  • In a validation study by Degen et al (2011) including 50 subarachnoid hemorrhage patients, the Hunt and Hess scale showed moderate interobserver agreement (weighted kappa value: 0.48; 95% CI, 0.36–0.59). The World Federation of Neurological Surgeons and the Prognosis on Admission of Aneurysmal Subarachnoid Hemorrhage scales both showed good interobserver agreement (0.64 and 0.60 respectively) with overlapping CI. 

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Este algoritme se proporciona con fines educativos, formativos e informativos. No debe utilizarse para apoyar la toma de decisiones médicas ni para prestar servicios médicos o de diagnóstico. Lea nuestro disclaimer.

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