ASTRAL, DRAGON and SEDAN scores predict stroke outcome more accurately than physicians
dc.creator | Ntaios G., Gioulekas F., Papavasileiou V., Strbian D., Michel P. | en |
dc.date.accessioned | 2023-01-31T09:40:31Z | |
dc.date.available | 2023-01-31T09:40:31Z | |
dc.date.issued | 2016 | |
dc.identifier | 10.1111/ene.13100 | |
dc.identifier.issn | 13515101 | |
dc.identifier.uri | http://hdl.handle.net/11615/77271 | |
dc.description.abstract | Background and purpose: ASTRAL, SEDAN and DRAGON scores are three well-validated scores for stroke outcome prediction. Whether these scores predict stroke outcome more accurately compared with physicians interested in stroke was investigated. Methods: Physicians interested in stroke were invited to an online anonymous survey to provide outcome estimates in randomly allocated structured scenarios of recent real-life stroke patients. Their estimates were compared to scores' predictions in the same scenarios. An estimate was considered accurate if it was within 95% confidence intervals of actual outcome. Results: In all, 244 participants from 32 different countries responded assessing 720 real scenarios and 2636 outcomes. The majority of physicians' estimates were inaccurate (1422/2636, 53.9%). 400 (56.8%) of physicians' estimates about the percentage probability of 3-month modified Rankin score (mRS) > 2 were accurate compared with 609 (86.5%) of ASTRAL score estimates (P < 0.0001). 394 (61.2%) of physicians' estimates about the percentage probability of post-thrombolysis symptomatic intracranial haemorrhage were accurate compared with 583 (90.5%) of SEDAN score estimates (P < 0.0001). 160 (24.8%) of physicians' estimates about post-thrombolysis 3-month percentage probability of mRS 0–2 were accurate compared with 240 (37.3%) DRAGON score estimates (P < 0.0001). 260 (40.4%) of physicians' estimates about the percentage probability of post-thrombolysis mRS 5–6 were accurate compared with 518 (80.4%) DRAGON score estimates (P < 0.0001). Conclusions: ASTRAL, DRAGON and SEDAN scores predict outcome of acute ischaemic stroke patients with higher accuracy compared to physicians interested in stroke. © 2016 EAN | en |
dc.language.iso | en | en |
dc.source | European Journal of Neurology | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979256245&doi=10.1111%2fene.13100&partnerID=40&md5=b00605d71a7bb2c5d4635e5cf8f9c4c5 | |
dc.subject | adult | en |
dc.subject | aged | en |
dc.subject | Article | en |
dc.subject | assessment of humans | en |
dc.subject | ASTRAL score | en |
dc.subject | blood clot lysis | en |
dc.subject | brain hemorrhage | en |
dc.subject | brain ischemia | en |
dc.subject | cerebrovascular accident | en |
dc.subject | decision making | en |
dc.subject | diagnostic accuracy | en |
dc.subject | DRAGON score | en |
dc.subject | female | en |
dc.subject | human | en |
dc.subject | male | en |
dc.subject | middle aged | en |
dc.subject | outcome assessment | en |
dc.subject | priority journal | en |
dc.subject | Rankin scale | en |
dc.subject | SEDAN score | en |
dc.subject | brain hemorrhage | en |
dc.subject | brain ischemia | en |
dc.subject | cerebrovascular accident | en |
dc.subject | physician | en |
dc.subject | prognosis | en |
dc.subject | very elderly | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Brain Ischemia | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Intracranial Hemorrhages | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Physicians | en |
dc.subject | Prognosis | en |
dc.subject | Stroke | en |
dc.subject | Blackwell Publishing Ltd | en |
dc.title | ASTRAL, DRAGON and SEDAN scores predict stroke outcome more accurately than physicians | en |
dc.type | journalArticle | en |
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