Stroke Clinical Trial
Official title:
Clinician JUdgment Versus Risk Score to Predict Stroke outComes:
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.
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
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Diagnostic
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