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Eur Heart J：比较ATRIA, CHADS2, 和HA2DS2-VASc卒中风险评分

2016-03-09 MedSci MedSci原创

ATRIACHADS2HA2DS2-VASc卒中风险评分
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    <span style="font-family:"微软雅黑","sans-serif";mso-ascii-font-family: Tahoma;mso-hansi-font-family:Tahoma">原始出处： Aspberg S ,Chang Y, Atterman A,et al,Comp

更好的卒中风险预测对于优化房颤患者的抗凝选择是有必要的。ATRIA 卒中风险评分(ATRIA)经两个大型的加利福利亚社区房颤组开发并证实。我们通过瑞典国家房颤人群(SAF)比较了ATRIA, CHADS2，和 CHA2DS2-VASc评分的表现。


我们检查了所有瑞典住院病人，或随访了医院门诊从2005年7月到2010年12月诊断的房颤患者。从综合国家数据库确定变量。通过C指数（C）和净重新分类指数(NRI)评估风险评分。总共观察到11053例急性缺血性卒中，平均发生率为3.2%/年，高于加利福利亚人群的2%/年。使用整点分数, ATRIA有良好的C指数，0.708 (0.704-0.713)，显著优于CHADS2 0.690 (0.685-0.695) 或 CHA2DS2-VASc 0.694(0.690-0.700)。使用分割点表示低/中/高的风险,C指数下降，但ATRIA仍最高。净重新分类指数支持ATRIA 0.16 (0.14-0.17) vs. CHADS2 and 0.21
(0.20-0.23) vs. CHA2DS2-VASc。当选择分割点来更好的匹配人群卒中比例时，净重新分类指数下降。

在这个SAF中，ATRIA评分预测缺血性卒中风险优于CHADS2 或 CHA2DS2-VASc。

原始出处：

Aspberg S ,Chang Y, Atterman A,et al,Comparison
of the ATRIA, CHADS2, and HA2DS2-VASc stroke risk scores in
predicting ischaemic stroke in a large Swedish cohort of patients with atrial
fibrillation. Eur Heart J. 2016 Mar 3. pii: ehw077.


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    2016-07-26 quxin068

    #ASC#

    0

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    2016-06-11 1249898am15暂无昵称

    #ADS#

    0

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    2016-03-22 1de304d2m86(暂无匿称)

    学习了，好

    0

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    2016-03-11 仁心济世

    #卒中风险#

    0

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    2016-03-11 zhaojie88

    #ART#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1938537, encodeId=31c4193853e6b, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Tue Jul 26 06:59:00 CST 2016, time=2016-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2029494, encodeId=2e81202949442, content=<a href='/topic/show?id=c4222014ff' target=_blank style='color:#2F92EE;'>#ADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2014, encryptionId=c4222014ff, topicName=ADS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=38232500109, createdName=1249898am15暂无昵称, createdTime=Sat Jun 11 02:59:00 CST 2016, time=2016-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72690, encodeId=e46ce2690c5, content=学习了，好, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44b91679772, createdName=1de304d2m86(暂无匿称), createdTime=Tue Mar 22 13:11:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1281207, encodeId=9884128120e67, content=<a href='/topic/show?id=455f36085f0' target=_blank style='color:#2F92EE;'>#卒中风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36085, encryptionId=455f36085f0, topicName=卒中风险)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Fri Mar 11 13:59:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356061, encodeId=113113560612f, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Fri Mar 11 13:59:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562360, encodeId=733e15623603a, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Fri Mar 11 13:59:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68510, encodeId=d7896851035, content=学习了，有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387d1660055, createdName=dhzzm, createdTime=Thu Mar 10 13:03:00 CST 2016, time=2016-03-10, status=1, ipAttribution=)]
    2016-03-11 slcumt

    #HEART#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1938537, encodeId=31c4193853e6b, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Tue Jul 26 06:59:00 CST 2016, time=2016-07-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2029494, encodeId=2e81202949442, content=<a href='/topic/show?id=c4222014ff' target=_blank style='color:#2F92EE;'>#ADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2014, encryptionId=c4222014ff, topicName=ADS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=38232500109, createdName=1249898am15暂无昵称, createdTime=Sat Jun 11 02:59:00 CST 2016, time=2016-06-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=72690, encodeId=e46ce2690c5, content=学习了，好, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44b91679772, createdName=1de304d2m86(暂无匿称), createdTime=Tue Mar 22 13:11:00 CST 2016, time=2016-03-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1281207, encodeId=9884128120e67, content=<a href='/topic/show?id=455f36085f0' target=_blank style='color:#2F92EE;'>#卒中风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36085, encryptionId=455f36085f0, topicName=卒中风险)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=仁心济世, createdTime=Fri Mar 11 13:59:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356061, encodeId=113113560612f, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Fri Mar 11 13:59:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562360, encodeId=733e15623603a, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Fri Mar 11 13:59:00 CST 2016, time=2016-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=68510, encodeId=d7896851035, content=学习了，有意思, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=387d1660055, createdName=dhzzm, createdTime=Thu Mar 10 13:03:00 CST 2016, time=2016-03-10, status=1, ipAttribution=)]
    2016-03-10 dhzzm

    学习了，有意思

    0