TY - T1的主观判断比正式的临床医生和护士更准确尺度预测脑出血后的功能结果(S45.006) JF -神经学乔-神经学六世- 82 - 10补充SP - S45.006盟-大卫·黄盟-卡梅隆戴尔AU -玛丽火花AU -蒂芙尼沃森盟-卡尔Langefeld AU -玛丽Comeau AU -乔纳森Rosand AU -托马斯电池非盟-塞巴斯蒂安·科赫AU -马里奥·佩首页雷斯盟- Michael James AU -杰西卡McFarlin AU -珍妮弗·奥斯本盟-丹尼尔·吴盟-史蒂文Kittner盟凯文Sheth Y1 - 2014/04/08 UR - //www.ez-admanager.com/content/82/10_Supplement/S45.006.abstract N2 -目的:我和FUNC成绩有很高的精确性,与医生和护士进行早期临床判断,对于改良Rankin规模的预测(夫人)通过我患者3个月。背景:我和FUNC分数是临床量表设计预测功能结果和对颅内出血(ICH)病人死亡率。设计/方法:5点我们进行了一项前瞻性研究中心。连续每个成年病人与主我承认,一个医生和一个护士的治疗小组被要求预测夫人在3个月。所有的预测都收集在24小时内入院。我和FUNC入学成绩和盲目的结果得到了3个月,部分使用数据从正在进行的民族/种族差异我(ERICH)项目。预测能力是衡量斯皮尔曼等级相关(r)。结果:100年共有100名患者,医生(75参加,25名学员)和100名护士给预测。为了夫人强度与三个月的关系,相关性是主治医生r = 0.81,护士r = 0.72,和学员r = 0.66。这些团体在统计学上优越(p比;0.10)。 However, nurses (p = 0.015) and attending physicians (p = 0.002), but not trainees (p = 0.57), were superior in their predictive ability over ICH Score (r = 0.55). Similarly, nurses (p = 0.0003) and attending physicians (p < 0.0001), but not trainees (p = 0.27), were superior over FUNC Score (r = -0.46). This accuracy advantage remained when examining predictions for (1) only those patients alive at 3 months (n = 65), and (2) only those patients for whom providers indicated that they would not recommend comfort care within the first 24 hours (n = 82). CONCLUSIONS: The ICH and FUNC Scores did not have superior accuracy, compared to subjective clinical judgment, with regards to prediction of 3-month ICH outcome. Study Supported by: American Heart AssocationDisclosure: Dr. Dell has nothing to disclose. Dr. Sparks has nothing to disclose. Dr. Watson has nothing to disclose. Dr. Langefeld has nothing to disclose. Dr. Comeau has nothing to disclose. Dr. Rosand has received personal compensation for activities with Boehringer Ingelheim Pharmaceuticals Inc. Dr. Battey has nothing to disclose. Dr. Koch has nothing to disclose. Dr. Perez has nothing to disclose. Dr. James has received personal compensation for activities with Hospira and Cephalogics as a consultant, and Hospira as a speaker. Dr. James has received research support from National Institutes of Health, the American Heart Association, Baxter, Cephalogics, and Hospira. Dr. McFarlin has nothing to disclose. Dr. Osborne has received research support from the National Institutes of Health. Dr. Woo has received research support from the National Institutes of Health. Dr. Kittner has nothing to disclose. Dr. Sheth has received research support from the American Academy of Neurology Foundation, the American Heart Association, the Passano Foundation, and Remedy Pharmaceuticals.Thursday, May 1 2014, 1:00 pm-2:45 pm ER -