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临床试验/NCT01657279
NCT01657279已完成不适用

Clinician JUdgment Versus Risk Score to Predict Stroke outComes:

Unity Health Toronto8 个研究点 分布在 2 个国家目标入组 111 人开始时间: 2012年7月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
111
试验地点
8
主要终点
30 Day Mortality or Disability (mRS >3) at discharge

研究概览

简要总结

Background: Several risk score models are now available to assist clinicians estimate outcomes after an acute ischemic stroke. Limited information is available on the predictive value of these scores compared to real outcomes and clinical judgment.

Objectives: To compare clinician judgment with the use of a validated stroke risk score (iScore) and patients' outcomes.

详细描述

A convenience sample of 111 practicing clinicians (general and vascular neurologists, internists, and ER physicians) predicted the outcomes of 5 stroke patients based on case summaries. Cases were randomly selected as being representative of the 10 most common clinical scenarios (n=1,415) from a pool of over 12,000 patients admitted to stroke centers in Ontario, Canada. Stroke cases had known clinical presentation, comorbidities, stroke severity, and outcomes.

All participants are active practicing physicians caring for patients with acute stroke. Conditions were standardized to mimic clinical practice.

Main outcomes of interest included 30-day mortality and death or disability at discharge.

Secondary outcome: death or institutionalization at discharge

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
Double (Investigator, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Practicing and active physicians managing patients with stroke

排除标准

  • retired physicians
  • physicians not exposed to care for stroke patients

结局指标

主要结局

30 Day Mortality or Disability (mRS >3) at discharge

时间窗: Death after 30 days from ischemic stroke onset or Disability following hospital discharge

次要结局

  • Death at 30 days(30 days)
  • Death or institutionalization at discharge(up to 30 days after discharge)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Gustavo Saposnik

Staff Physician and Clinician Scientist, Associate Professor of medicine, University of Toronto

Unity Health Toronto

研究点 (8)

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