Progression rate of ALSFRS-R at time of diagnosis predicts survival time in ALS.
retrospective_cohort · Level III
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Abstract
The authors calculated the progression rate (DeltaFS) using the total revised ALS Functional Rating Scale (ALSFRS-R) and symptom duration at diagnosis in 82 Japanese patients with ALS. Survival (death or tracheostomy) differed significantly with the DeltaFS and postdiagnostic period according to log-rank testing, but Cox proportional hazards modeling revealed no strong association between total ALSFRS-R and mortality, suggesting that the DeltaFS provides an additional predictive index beyond ALSFRS-R alone.
Medical subject headings
- Amyotrophic Lateral Sclerosis
- Severity of Illness Index