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Table 1 Accuracy of Risk Scores or Risk Prediction Models

From: Application and risk prediction of thrombolytic therapy in cardio-cerebrovascular diseases: a review

First author, year

Risk score/ Risk prediction model

Data set

Observation period

endpoint

Results

Source

size (n)

Brewster LM, 2020 [50]

CKmax

TIMI 3B trial

1473

During hospitalization

1) Major bleeding

2) Composition of major bleeding, stroke and in-hospital death

1) AUC = 0.68

2) AUC = 0.69

Age

1) AUC = 0.68

2) AUC = 0.67

MV model (CK, age)

1) AUC = 0.80

2) AUC = 0.75

Chotechuang Y, 2020 [51]

GRACE

Primary data

Low GRACE score (< 126 points) group: 229

Intermediate-high GRACE score (≥ 126 points) group: 112

6 months

1) Composite cardiovascular outcome

2) In-hospital mortality

3) Re-hospitalized with HF

1) AUC = 0.746; p = 0.003; HR = 5.02; OR = 5.69

2) p = 0.252

3) p < 0.001

Chotechuang Y, 2016 [52]

GRACE

Primary data

Low GRACE score (< 126 points) group: 88

Intermediate-high GRACE score (≥ 126 points) group: 64

6 months

1) Composite cardiovascular outcome

2) In-hospital mortality

3) Re-hospitalized with HF

4) Cardiovascular death

1) AUC = 0.641; p = 0.024; HR = 2.97; OR = 3.20

2) p = 0.276

3) p = 0.036; OR = 5.34

4) AUC = 0.794

Hassan AKM, 2014 [53]

6MWTD

Primary data

100

3 months

1) MACE

2) HF

3) Re-infarction

4) Post-MI angina

5) Death

1) OR = 7.14; p < 0.001;

2) p = 0.001

3) p = 0.09

4) p: NS

5) p < 0.001

GRACE

1) OR = 7.23; p = 0.004

GRACE + 6MWT

1) OR = 8.14; p < 0.001

TIMI

1) OR = 3.08; p = 0.07

Steyerberg EW, 2005 [54]

Belgium model

GUSTO-I

40,830

30 days

All- cause mortality

AUC = 0.780

TIMI-II

AUC = 0.782

GISSI-II

AUC = 0.757

GUSTO-I

AUC = 0.821

GUSTO-I nomogram

AUC = 0.827

Nisar T, 2019 [55]

HAT

Primary data

89

During hospitalization

SICH: NINDS, ECASS-II

AUC = 0.710, 0.769; p = 0.066, 0.044

DRAGON

AUC = 0.786, 0.701; p = 0.012, 0.132

SITS-ICH

AUC = 0.746, 0.655; p = 0.032, 0.247

MSS

AUC = 0.730, 0.705; p = 0.044, 0.125

SPAN-100

AUC = 0.547, 0.576; p = 0.681, 0.569

SEDAN

AUC = 0.666, 0.617; p = 0.146, 0.383

THRIVE

AUC = 0.543, 0.539; p = 0.688, 0.574

Asuzu D, 2015 [56]

DRAGON

Primary data

210

During hospitalization

SICH: NINDS

AUC = 0.76

s-TPI

AUC = 0.740

ASTRAL

AUC = 0.72

HAT

AUC = 0.70

PRS

AUC = 0.66

SEDAN

AUC = 0.66

SITS-ICH

AUC = 0.65

SPAN-100

AUC = 0.57

Watson-Fargie T, 2015 [57]

SEDAN

Primary data

431

During hospitalization

SICH: NINDS, ECASS-II, SITS-MOST

AUC = 0.72, 0.67, 0.62

HAT

AUC = 0.78, 0.73, 0.67

GRASPS

AUC = 0.74, 0.69, 0.65

SITS-ICH

AUC = 0.72, 0.72, 0.68

Van Hooff RJ, 2014 [58]

s-TPI

MISS and UZB

169

During hospitalization

1) Functional outcome: Excellent (mRS 0–1), Good (mRS 0–2), Catastrophic (mRS 5–6)

2)SICH: NINDS, ECASS II

1) AUC = 0.80, 0.83, 0.86

iSCORE

1) AUC = 0.72, 0.80, 0.86

DRAGON

1) AUC = 0.79, 0.82, 0.81

MSS

2) AUC = 0.70, 0.86

HAT

2) AUC = 0.67, 0.79

SITS-SICH

2) AUC = 0.68, 0.76

SEDAN

2) AUC = 0.70, 0.69

GRASPS

2) AUC = 0.66, 0.83

Sung SF, 2013 [59]

MSS

Primary data

548

During hospitalization

SICH: NINDS, ECASS II, SITS-MOST

AUC = 0.60, 0.62, 0.64

HAT

AUC = 0.70, 0.69, 0.73

SITS-ICH

AUC = 0.62, 0.61, 0.68

GRASPS

AUC = 0.62, 0.61, 0.63

SPAN-100

AUC = 0.56, 0.55, 0.57

Sung SF, 2013 [60]

SITS-ICH

Primary data

ACS: 434

PCS: 84

During hospitalization

SICH: NINDS, ECASS II, SITS-MOST, any ICH

ACS group: AUC = 0.64, 0.65, 0.70, 0.59

PCS group: AUC = -, -, -, 0.79

Mazya M, 2013 [61]

SEDAN

SITS-ISTR

SICH group: 2222

NO SICH group: 41,760

-

SICH: NINDS, ECASS II, SITS-MOST, any ICH

SICH group: AUC = 0.64, 0.65, 0.70, 0.59

NO SICH group: AUC = 0.79

Strbian D, 2014 [62]

MSS

Primary data

3012

During hospitalization

SICH: NINDS, ECASS II, SITS-MOST, any ICH

AUC = 0.62, 0.63, 0.66, 0.63

HAT

AUC = 0.65, 0.65, 0.64, 0.65

SEDAN

AUC = 0.69, 0.70, 0.69, 0.70

GRASPS

AUC = 0.67, 0.67, 0.67, 0.67

SITS-ICH

AUC = 0.61, 0.64, 0.67, 0.64

SPAN-100

AUC = 0.55, 0.56, 0.56, 0.56

Li M, 2015 [63]

SEDAN

TIMS-China

811

During hospitalization

SICH: NINDS, ECASS II, SITS-MOST

AUC = 0.59, 0.59, 0.62

SITS-ICH

AUC = 0.65, 0.69, 0.72

GRASPS

AUC = 0.70, 0.73, 0.70

MSS

AUC = 0.71, 0.72, 0.73

Chang X, 2021 [64]

ASPECTS

Primary data

248

During hospitalization

Hemorrhagic transformation

AUC = 0.895; Se = 100%; Sp = 60.7%

DRAGON

AUC = 0.877; Se = 84.4%; Sp = 82.1%

SEDAN

AUC = 0.764; Se = 78.6%; Sp = 68.6%

HAT

AUC = 0.777; Se = 68.8%; Sp = 82.1%

Orbán-Kálmándi R, 2021 [65]

CLA AUC

Primary data

231

90 days

1) SICH: ECASS II

2) Unfavorable functional outcomes (mRS > 2)/ no change

1) Se = 61.1%; Sp = 56.8%

2) Se = 49.5%; Sp = 66.7%

Modified CLA (CLA in the presence of cfDNA and histones)

1) Se = 66.7%; Sp = 62.0%

2) Se = 64.2%; Sp = 55.2%

Turcato G, 2016 [66]

RDW

Primary data

316

1 year

1) Lack of neurological improvement

2) All-cause mortality

1) AUC = 0.667, p < 0.01

2) Median survival: 280 (RDW ≥ 14.5%) and 341(RDW < 14.5%) days

  1. DM Diabetes melitus, CKD Chronic kidney disease, DAPT Dual antiplatelet therapy, LMWH Low molecular weight heparin, AUC Area under the receiver-operating characteristics curve, OR Odds ratio, HR Hazard ratio, Se Sensitivity, Sp Specificity, TSOC ACS-DM The Acute Coronary Syndrome-Diabetes Mellitus Registry of the Taiwan Society of Cardiology, BRAVO Building, Relating, Assessing, and Validating Outcomes, EMPA-REG OUTCOME Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes [67], CANVAS Canagliflozin Cardiovascular Assessment Study [68], DECLARE-TIMI 58 Dapagliflozin and cardiovascular outcomes in type 2 diabetes [69], MACE Major adverse cardiovascular events, 6MWT 6-min walk test, ACSIS Acute Coronary Syndrome Israeli Survey, OTT Onset to thrombolysis, CREDO-Kyoto Coronary Revascularization Demonstrating Outcome Study in Kyoto, RESET Randomized Evaluation of Sirolimus‐Eluting Versus Everolimus‐Eluting Stent Trial, NEXT Nobori Biolimus‐Eluting Versus Xience/Promus Everolimus‐Eluting Stent Trial, ECASS-II European-Australasian Cooperative Acute Stroke Study-II, NINDS National Institute of Neurological Disorders and Stroke, SICH symptomatic intracerebral hemorrhage, CHF Chronic heart failure, AF Atrial fibrillation, MISS Middelheim Interdisciplinary Stroke Study, UZB Universitair Ziekenhuis Brussel, ACS Anterior circulation stroke, PCS Posterior circulation stroke, SITS-ISTR Safe Implementation of Treatment in Stroke-International Stroke Thrombolysis Registry, TIMS-China Thrombolysis Implementation and Monitor of acute ischemic Stroke in China, BUN/Cr Blood urea nitrogen-to-creatinine ratio, NLR neutrophil-to-lymphocyte ratio, DCA Decision curve analysis, NT-proBNP N-terminal pro-brain natriuretic peptide, CHD coronary heart disease, HT Hemorrhagic transformation, ASPECTS Alberta stroke project early CT score, CLA clot lysis assay, mRS Modified RANKIN Sore, RDW Red blood cell distribution width