Evidence map›Paper›PMID 38274038›Full record

ArticleeNeurologicalSci2024

Doctors and nurses subjective predictions of 6-month outcome compared to actual 6-month outcome for adult patients with spontaneous intracerebral haemorrhage (ICH) in neurocritical care: An observational study.

Siobhan Mc Lernon, Daniel Frings, Louise Terry, Rob Simister, Simone Browning, Helen Burgess, Josenile Chua, Ugan Reddy, David J Werring

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in eNeurologicalSci, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

9 authors at 3 institutions in 1 country.

Siobhan Mc LernonStroke Research Centre, University College London, Institute of Neurology, London, UK.
Daniel FringsLondon South Bank University, School of Applied Sciences, London, UK.
Louise TerryLondon South Bank University, School of Health and Social Care, London, UK.
Rob SimisterStroke Research Centre, University College London, Institute of Neurology, London, UK.
Simone BrowningUniversity College London Hospital NHS Foundation Trust, Hyper Acute Stroke Unit, National Hospital for Neurology and Neurosurgery, UK.
Helen BurgessNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation, Queen Square, London, UK.
Josenile ChuaNational Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation, Queen Square, London, UK.
Ugan ReddyStroke Research Centre, University College London, Institute of Neurology, London, UK.
David J WerringStroke Research Centre, University College London, Institute of Neurology, London, UK.
National Hospital for Neurology and Neurosurgery · GBUniversity College London · GBLondon South Bank University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute spontaneous intracerebral haemorrhage is a devastating form of stroke. Prognostication after ICH may be influenced by clinicians' subjective opinions. Purpose: To evaluate subjective predictions of 6-month outcome by clinicians' for ICH patients in a neurocritical care using the modified Rankin Scale (mRS) and compare these to actual 6-month outcome. Method: We included clinicians' predictions of 6-month outcome in the first 48 h for 52 adults with ICH and compared to actual 6-month outcome using descriptive statistics and multilevel binomial logistic regression. Results: 35/52 patients (66%) had a poor 6-month outcome (mRS 4-6); 19/52 (36%) had died. 324 predictions were included. For good (mRS 0-3) versus poor (mRS 4-6), outcome, accuracy of predictions was 68% and exact agreement 29%. mRS 6 and mRS 4 received the most correct predictions. Comparing job roles, predictions of death were underestimated, by doctors (12%) and nurses (13%) compared with actual mortality (36%). Predictions of vital status showed no significant difference between doctors and nurses: OR = 1.24 {CI; 0.50-3.05}; ( Conclusions: Early prognostication is challenging. Doctors and nurses were most likely to correctly predict poor outcome but tended to err on the side of optimism for mortality, suggesting an absence of clinical nihilism in relation to ICH.

Indexed as

Modified Rankin Scale (mRS)Neurocritical care predictionsOutcomePrognosticationSpontaneous intracerebral haemorrhage

Identifiers

PMID38274038
PMCPMC10809071
OpenAlexW4390078143

What OpenQuestion holds

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LicenceCC BY
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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.