Perbandingan Tingkat Akurasi Antara Intraventricular Hemorrhage Score (IVH SCORE IVHS), Modified Graeb Score (mGS), dan LeRoux Score Untuk Menilai Outcome Stroke Hemoragik

ABSTRAK

Latar Belakang : Metode penilaian
yang
mengevaluasi
perdarahan
intraventrikular belum dikenal dengan baik hingga saat ini.
Tujuan : Untuk mengevaluasi prediksi akurasi diagnostik dari Intraventricular
Hemorrhage Score (IVH Score / IVHS), Modified Graeb Score (mGS), dan LeRoux
Score dalam menilai outcome stroke hemoragik.
Metode : Studi potong lintang yang dilakukan terhadap 49 orang pasien stroke
hemoragik yang dijumpai perdarahan intraventrikular yang akan dievaluasi dengan
menggunakan IVH Score, Modified Graeb Score, dan LeRoux Score pada saat
datang ke RSUP Haji Adam Malik Medan. Outcome stroke hemoragik dinilai dengan
menggunakan Modified Rankin Scale (mRS). Outcome buruk dinyatakan dengan
nilai mRS>3.
Hasil : Sensitivitas IVH Score 72,1%, Modified Graeb Score 69,8% dan LeRoux
Score 65,1%. Spesifisitas IVH Score 66,7%, Modified Graeb Score 50%, dan
LeRoux Score 50%. Nilai AUC untuk IVH Score 0,797, Modified Graeb Score 0,703,
dan LeRoux Score 0,696. Nilai akurasi diagnostik IVH Score 0,71, Modified Graeb
Score 0,694 dan LeRoux Score 0,592. Nilai Duga Positif IVH Score 0,25, Modified

Graeb Score 0,23 dan LeRoux Score 0,15. Nilai Duga Negatif IVH Score 0,94,
Modified Graeb Score 0,93 dan LeRoux Score 0,89. Rasio Kemungkinan Positif IVH
Score 2,1, Modified Graeb Score 1,39 dan LeRoux Score 1,302. Rasio
Kemungkinan Positif IVH Score 0,42, Modified Graeb Score 0,604 dan LeRoux
Score 0,698.
Kesimpulan : Intraventricular Hemorrhage Score terlihat lebih baik akurasinya
dalam menilai atau memprediksi outcome stroke hemoragik dibandingkan dengan
Modified Graeb Score dan LeRoux Score (P value < 0,05).
Kata kunci : Intraventricular Hemorrhage Score, IVH Score, IVHS, Modified Graeb
Score, mGS, LeRoux Score, outcome stroke hemoragik, IVH, Intraventricular
Hemorrhage, perdarahan intraventrikular, Modified Rankin Scale, mRS

Universitas Sumatera Utara

ABSTRACT

Background : Assessment methods for evaluating intraventricular hemorrhage, until
now, are not well established.
Purpose : For evaluation the predictive diagnostic accuracies of the Intraventricular
Hemorrhage Score (IVH Score or IVHS), Modified Graeb Score (mGS), and LeRoux

Score in evaluating outcome of the hemorrhagic stroke.
Methods : This was a cross sectional study of 49 hemorrhagic stroke patients that
must be found intraventricular hemorrhage will be evaluation with using the IVH
Score, Modified Graeb Score, and LeRoux Score when they come to Haji Adam
Malik Medan General Hospital. Outcome of the hemorrhagic stroke are evaluated
with using Modified Rankin Scale (mRS). Poor outcome was defined as mRS scores
> 3.
Results : Sensitivity of IVH Score 72.1%, Modified Graeb Score 69.8% and LeRoux
Score 65.1%. Specificity of IVH Score 66.7%, Modified Graeb Score 50%, and
LeRoux Score 50%. AUC values for IVH Score 0.797, Modified Graeb Score 0.703
and LeRoux Score 0.696. The value of diagnostic accuracy for IVH Score 0.71,
Modified Graeb Score 0.694 and LeRoux Score 0.592. Positive predictive value for
IVH Score 0.25, Modified Graeb Score 0.23 and LeRoux Score 0.15. Negative
predictive value for IVH Score 0.94, Modified Graeb Score of 0.93 and LeRoux
Score 0.89. Positive Likelihood Ratio for IVH Score 2.1, Modified Graeb Score 1.39
and LeRoux Score 1.302. Negative Likelihood Ratio Score for IVH Score 0.42,
Modified Graeb Score 0.604 and LeRoux Score 0.698.
Conclusion: Intraventricular Hemorrhage Score looks better accuracy in evaluating
or predicting the outcome of hemorrhagic stroke compared with Modified Graeb
Score and LeRoux Score (P value < 0.05).

Key Words : Intraventricular Hemorrhage Score, IVH Score, IVHS, Modified Graeb
Score, mGS, LeRoux Score, outcome of the hemorrhagic stroke, IVH,
Intraventricular Hemorrhage, Modified Rankin Scale, mRS

Universitas Sumatera Utara