Evidence map›Paper›PMID 23138544›Full record

SynthesisNeurocritical care2013

Clinical prediction models for aneurysmal subarachnoid hemorrhage: a systematic review.

Blessing N R Jaja, Michael D Cusimano, Nima Etminan, Daniel Hanggi, David Hasan, Don Ilodigwe, Hector Lantigua, Peter Le Roux, Benjamin Lo, Ada Louffat-Olivares and 12 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurocritical care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Blessing N R JajaSt. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Michael D Cusimano
Nima Etminan
Daniel Hanggi
David Hasan
Don Ilodigwe
Hector Lantigua
Peter Le Roux
Benjamin Lo
Ada Louffat-Olivares
Stephan Mayer
Andrew Molyneux
Audrey Quinn
Tom A Schweizer
Thomas Schenk
Julian Spears
Michael Todd
James Torner
Mervyn D I Vergouwen
George K C Wong
Jeff Singh
R Loch Macdonald

Funding

CIHRMedical Research Council G0700479
6 · The paper itself

Abstract

backgroundClinical prediction models can enhance clinical decision-making and research. However, available prediction models in aneurysmal subarachnoid hemorrhage (aSAH) are rarely used. We evaluated the methodological validity of SAH prediction models and the relevance of the main predictors to identify potentially reliable models and to guide future attempts at model development.

methodsWe searched the EMBASE, MEDLINE, and Web of Science databases from January 1995 to June 2012 to identify studies that reported clinical prediction models for mortality and functional outcome in aSAH. Validated methods were used to minimize bias.

resultsEleven studies were identified; 3 developed models from datasets of phase 3 clinical trials, the others from single hospital records. The median patient sample size was 340 (interquartile range 149-733). The main predictors used were age (n = 8), Fisher grade (n = 6), World Federation of Neurological Surgeons grade (n = 5), aneurysm size (n = 5), and Hunt and Hess grade (n = 3). Age was consistently dichotomized. Potential predictors were prescreened by univariate analysis in 36 % of studies. Only one study was penalized for model optimism. Details about model development were often insufficiently described and no published studies provided external validation.

conclusionsWhile clinical prediction models for aSAH use a few simple predictors, there are substantial methodological problems with the models and none have had external validation. This precludes the use of existing models for clinical or research purposes. We recommend further studies to develop and validate reliable clinical prediction models for aSAH.

Indexed as

Decision Support TechniquesRecovery of FunctionHumansSubarachnoid HemorrhageTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.