Clinician judgment vs formal scales for predicting intracerebral hemorrhage outcomes.

ABSTRACT:

Objective

To compare the performance of formal prognostic instruments vs subjective clinical judgment with regards to predicting functional outcome in patients with spontaneous intracerebral hemorrhage (ICH).

Methods

This prospective observational study enrolled 121 ICH patients hospitalized at 5 US tertiary care centers. Within 24 hours of each patient's admission to the hospital, one physician and one nurse on each patient's clinical team were each asked to predict the patient's modified Rankin Scale (mRS) score at 3 months and to indicate whether he or she would recommend comfort measures. The admission ICH score and FUNC score, 2 prognostic scales selected for their common use in neurologic practice, were calculated for each patient. Spearman rank correlation coefficient

SUBMITTER: Hwang DY 

PROVIDER: S-EPMC4731687 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature