BACKGROUND: Prognostic assessments, which are crucial for decision-making in @entity3124 , have shown unsatisfactory reliability. We compared the accuracy of a widely used prognostic score against a model derived from clinical data obtained 5 days after admission for @entity1 with @entity1779 ( @entity1779 ), a condition for which prognostication has proven notoriously challenging and prone to bias. METHODS: @entity1 enrolled in a prospective observational cohort study of spontaneous @entity1779 underwent hourly Glasgow @entity772 Scale (GCS) assessment. Outcome was measured at 3 months using the @entity2653 ( @entity2653 ). We analyzed the change in correlation between GCS and 3-month @entity2653 scores from admission through day 5, and compared the performance of a parsimonious set of day 5 clinical variables against the @entity1779 score. RESULTS: Data was collected on 254 subjects. The @entity1779 score and day 5 GCS score were both correlated with 3-month @entity2653 score (p < 0.001), but the correlation was stronger with day 5 GCS score (p < 0.05 by @entity16043 z-transformation). Premorbid @entity2653 score, intraventricular @entity548 and day 5 GCS score were independent predictors of outcome (all p < 0.05 in ordinal regression model). While @entity1779 score correctly classified good ( @entity2653 0-3) vs. poor ( @entity2653 4-6) outcome in 73% of cases, the day 5 model correctly classified 83% of cases. CONCLUSIONS: A simple reassessment after 5 days of care significantly improves the accuracy of prognosticating outcome in @entity1 with @entity1779 . These data confirm the feasibility and potential utility of early reassessments in refining prognosis for @entity1 who survive early stabilization of a severe @entity16 .

Refining Prognosis for XXXX by Early Reassessment.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity2653 :: ('MESH:C538175', 'Disease') :: ['mRS', 'modified Rankin Scale'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity3124 :: ('MESH:D016638', 'Disease') :: ['critical illnesses'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic injury'] @entity772 :: ('MESH:D003128', 'Disease') :: ['Coma'] @entity16043 :: ('76720', 'Species') :: ['Fisher'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['ICH', 'intracerebral hemorrhage']
@entity1779 :: (MESH:D002543,Disease) :: ['Intracerebral Hemorrhage']
