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J Korean Soc Emerg Med > Volume 29(5); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(5): 449-454.
비외상성 동맥류성지주막하출혈 환자에서 SAFARI 점수를 이용한 경련 발생 예측의 유용성
백승준, 홍대영 , 김신영, 김종원, 박상오, 이경룡, 백광제
건국대학교 의학전문대학원 응급의학교실
Usefulness of the SAFARI score for predicting convulsive seizure in patients with aneurysmal subarachnoid hemorrhage
Seung Jun Baik, Dae Young Hong , Sin Young Kim, Jong Won Kim, Sang O Park, Kyeong Ryong Lee, Kwang Je Baek
Department of Emergency Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
Correspondence  Dae Young Hong ,Tel: 02-2030-5790, Fax: 02-2030-5789, Email: sean1011@naver.com,
Received: May 11, 2018; Revised: July 16, 2018   Accepted: August 28, 2018.  Published online: October 31, 2018.
ABSTRACT
Objective:
The SAFARI score was introduced to assess the risk of convulsive seizure during admission for aneurysmal subarachnoid hemorrhage in 2017. This study was conducted to determine whether the SAFARI score derived from the afore-mentioned study could be applied to patients with aneurysmal subarachnoid hemorrhage in Korea.
Method:
We conducted a retrospective study of patients who were diagnosed with aneurysmal subarachnoid hemorrhage from March 2013 to October 2017. Patients’ age, sex, blood pressure, pulse rate, body temperature, Glasgow-Coma Scale, Hunt-Hess scale, modified Fisher grade, size of ruptured aneurysm, surgery type, transfusion, and SAFARI score were compared between the seizure and non-seizure groups. The area under the receiver operator characteristic curves was calculated to evaluate the predictive ability for seizure during admission. Logistic regression analysis was used to analyze predictive factors for seizure during admission.
Results:
A total of 220 patients were included. Ninety-seven (44.1%) were male and 123 (55.9%) were female. The mean age of the patients was 65.8 years old (range, 56-75). The area under the curve of the SAFARI score for predicting seizure was 0.813. The SAFARI score was the only significant predictor of seizure during admission, while other factors were not statistically significant upon logistic regression analysis.
Conclusion:
The SAFARI score could be used for predicting seizure during admission in patients with aneurysmal subarachnoid hemorrhage.
Key words: Subarachnoid hemorrhage; Aneurysm; Seizures; Risk
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