Evidence map›Paper›PMID 38214155›Full record

ArticleStroke2024

Surrogate Decision-Making After Stroke in a Community Setting: The OASIS Project.

Darin B Zahuranec, Carmen Ortiz, Rebecca J Lank, Guanghao Zhang, Xu Shi, Erin Case, Lewis B Morgenstern

Open access · greenAbstract read
In one paragraph

Article in Stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 9% of its field
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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Darin B ZahuranecStroke Program, University of Michigan Medical School, Ann Arbor (D.B.Z., C.O., L.B.M.).ORCID 0000-0002-9772-2469
Carmen OrtizStroke Program, University of Michigan Medical School, Ann Arbor (D.B.Z., C.O., L.B.M.).ORCID 0009-0004-0191-0177
Rebecca J LankUniversity of Iowa Carver College of Medicine, Iowa City (R.J.L.).ORCID 0009-0009-8996-1900
Guanghao ZhangDepartment of Biostatistics (G.Z., X.S.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0002-7615-4415
Xu ShiDepartment of Biostatistics (G.Z., X.S.), University of Michigan School of Public Health, Ann Arbor.ORCID 0000-0001-8566-9552
Erin CaseDepartment of Epidemiology (E.C., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Lewis B MorgensternStroke Program, University of Michigan Medical School, Ann Arbor (D.B.Z., C.O., L.B.M.).ORCID 0000-0002-5787-592X
University of Michigan · USUniversity of Iowa · US

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
Outcomes Among Surrogate decision makers In Stroke (OASIS)R01NS091112 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MORGENSTERN, LEWIS B, ZAHURANEC, DARIN B · 2015 to 2019
$2.6M
NINDS NIH HHS R01 NS038916NINDS NIH HHS R01 NS091112
6 · The paper itself

Abstract

backgroundPatients with severe stroke often rely on surrogate decision-makers for life-sustaining treatment decisions. We investigated ethnic differences between Mexican Americans (MAs) and non-Hispanic White (NHW) individuals in surrogate reports of physician quality of communication and shared decision-making from the OASIS study (Outcomes Among Surrogate Decision Makers in Stroke) project.

methodsPatients had ischemic stroke or intracerebral hemorrhage in Nueces County, TX. Surrogates self-identified as being involved in decisions about do-not-resuscitate orders, brain surgery, ventilator, feeding tube, or hospice/comfort care. Surrogate reports of physician quality of communication (scale score, range from 0 to 10) and shared decision-making (CollaboRATE scale score, binary score 1 versus 0) were compared by ethnicity with linear or logistic regression using generalized estimating equations, adjusted for prespecified demographics, clinical factors, and confounders.

resultsBetween April 2016 and September 2020, 320 surrogates for 257 patients with stroke enrolled (MA, 158; NHW, 85; and other, 14). Overall quality of communication score was better among surrogates of MA patients than NHW individuals after adjustment for demographics, stroke severity, and patient survival though the ethnic difference was attenuated (β, 0.47 [95% CI, -0.17 to 1.12];

conclusionsSurrogate decision-makers of MA patients generally reported better outcomes on validated measures of quality of communication and shared decision-making than NHW individuals. Further study of outcomes among diverse populations of stroke surrogate decision-makers may help to identify sources of strength and resiliency that may be broadly applicable.

Indexed as

Decision MakingStrokeAgedCerebral HemorrhageHumansResuscitation OrdersTexascommunicationdecision-making, sharedhospitalsMexican Americansstroke

Identifiers

PMID38214155
PMCPMC10922558
OpenAlexW4390793524

What OpenQuestion holds

Textmetadata
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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.