Prognostic scoring systems are widely used as objective outcome predictors in neurocritical care, for example, after haemorrhagic stroke. A new study, however, has unexpectedly shown that clinicians can predict outcome after intracerebral haemorrhage more accurately than do formal scoring scales.
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References
Hwang, D. Y. et al. Clinician judgment vs formal scales for predicting intracerebral hemorrhage outcomes. Neurology 86, 126–133 (2016).
Hemphill, J. C. 3rd, Newman, J., Zhao, S. & Johnston, S. C. Hospital usage of early do-not-resuscitate orders and outcome after intracerebral hemorrhage. Stroke 35, 1130–1134 (2004).
Rost, N. S. et al. Prediction of functional outcome in patients with primary intracerebral hemorrhage: the FUNC score. Stroke 39, 2304–2309 (2008).
Tuhrim, S., Horowitz, D. R., Sacher, M. & Godbold, J. H. Volume of ventricular blood is an important determinant of outcome in supratentorial intracerebral hemorrhage. Crit. Care Med. 27, 617–621 (1999).
Davis, S. M. et al. Hematoma growth is a determinant of mortality and poor outcome after intracerebral hemorrhage. Neurology 66, 1175–1181 (2006).
Ariesen, M. J., Algra, A., van der Worp, H. B. & Rinkel, G. J. Applicability and relevance of models that predict short term outcome after intracerebral haemorrhage. J. Neurol. Neurosurg. Psychiatry 76, 839–844 (2005).
Becker, K. J. et al. Withdrawal of support in intracerebral hemorrhage may lead to self-fulfilling prophecies. Neurology 56, 766–772 (2001).
Claire, J. et al. Do-not-attempt-resuscitation orders and prognostic models for intraparenchymal hemorrhage. Crit. Care Med. 39, 158–162 (2011).
Gregson, B. A. et al. Individual patient data subgroup meta-analysis of surgery for spontaneous supratentorial intracerebral hemorrhage. Stroke 43, 1496–1504 (2012).
Vespa, P. M., Martin, N., Zuccarello, M., Awad, I. & Hanley, D. F. Surgical trials in intracerebral hemorrhage. Stroke 44, S79–S82 (2013).
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Hanley, D. Prognostic scales versus clinical judgment in ICH. Nat Rev Neurol 12, 192–193 (2016). https://doi.org/10.1038/nrneurol.2016.11
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DOI: https://doi.org/10.1038/nrneurol.2016.11
