Refining Prognosis for Intracerebral Hemorrhage by Early Reassessment.

ABSTRACT:

Background

Prognostic assessments, which are crucial for decision-making in critical illnesses, have shown unsatisfactory reliability. We compared the accuracy of a widely used prognostic score against a model derived from clinical data obtained 5 days after admission for patients with intracerebral hemorrhage (ICH), a condition for which prognostication has proven notoriously challenging and prone to bias.

Methods

Patients enrolled in a prospective observational cohort study of spontaneous ICH underwent hourly Glasgow Coma Scale (GCS) assessment. Outcome was measured at 3 months using the modified Rankin Scale (mRS). We analyzed the change in correlation between GCS and 3-month mRS scores from admission through day 5, and compared the performance of a parsimonious set of da

SUBMITTER: Maas MB 

PROVIDER: S-EPMC5380575 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature