Doctors and nurses subjective predictions of 6-month outcome compared to actual 6-month outcome for adult patients with spontaneous intracerebral haemorrhage (ICH) in neurocritical care: An observational study.
Journal article
McLernon, S., Frings, D., Terry, L., Simister, R., Browning, S., Burgess, H., Chua, J., Reddy, U. and Werring, D.J. (2023). Doctors and nurses subjective predictions of 6-month outcome compared to actual 6-month outcome for adult patients with spontaneous intracerebral haemorrhage (ICH) in neurocritical care: An observational study. eNeurologicalSci. 34, p. 100491. https://doi.org/10.1016/j.ensci.2023.100491
| Authors | McLernon, S., Frings, D., Terry, L., Simister, R., Browning, S., Burgess, H., Chua, J., Reddy, U. and Werring, D.J. |
|---|---|
| Abstract | Acute spontaneous intracerebral haemorrhage is a devastating form of stroke. Prognostication after ICH may be influenced by clinicians' subjective opinions. To evaluate subjective predictions of 6-month outcome by clinicians' for ICH patients in a neurocritical care using the modified Rankin Scale (mRS) and compare these to actual 6-month outcome. We included clinicians' predictions of 6-month outcome in the first 48 h for 52 adults with ICH and compared to actual 6-month outcome using descriptive statistics and multilevel binomial logistic regression. 35/52 patients (66%) had a poor 6-month outcome (mRS 4-6); 19/52 (36%) had died. 324 predictions were included. For good (mRS 0-3) versus poor (mRS 4-6), outcome, accuracy of predictions was 68% and exact agreement 29%. mRS 6 and mRS 4 received the most correct predictions. Comparing job roles, predictions of death were underestimated, by doctors (12%) and nurses (13%) compared with actual mortality (36%). Predictions of vital status showed no significant difference between doctors and nurses: OR = 1.24 {CI; 0.50-3.05}; ( = 0.64) or good versus poor outcome: OR = 1.65 {CI; 0.98-2.79}; ( = 0.06). When predicted and actual 6-month outcome were compared, job role did not significantly relate to correct predictions of good versus poor outcome: OR = 1.13 {CI;0.67-1.90}; ( = 0.65) or for vital status: OR = 1.11 {CI; 0.47-2.61}; = 0.81). Early prognostication is challenging. Doctors and nurses were most likely to correctly predict poor outcome but tended to err on the side of optimism for mortality, suggesting an absence of clinical nihilism in relation to ICH. [Abstract copyright: © 2024 The Authors. Published by Elsevier B.V.] |
| Keywords | Neurocritical care predictions; Modified Rankin Scale (mRS); Outcome; Spontaneous intracerebral haemorrhage; Prognostication |
| Year | 2023 |
| Journal | eNeurologicalSci |
| Journal citation | 34, p. 100491 |
| Publisher | Elsevier |
| ISSN | 2405-6502 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.ensci.2023.100491 |
| https://doi.org/S2405-6502(23)00049-7 | |
| Publication dates | |
| Online | 22 Dec 2023 |
| Publication process dates | |
| Accepted | 18 Dec 2023 |
| Deposited | 08 Feb 2024 |
| Publisher's version | License File Access Level Open |
Permalink -
https://openresearch.lsbu.ac.uk/item/9651x
Download files
66
total views16
total downloads1
views this month1
downloads this month
Export as
Related outputs
Study Protocol: Evaluating artificial intelligence-driven stress echocardiography analysis system (EASE study): mixed method study.
Mahdavi, M., Thomas, N., Flood, C., Stewart-Lord, A., Baillie, L., Grisan, E., Callaghan, P., Panayotova, R, Hothi, S, Griffith, V., Jayadev, S. and Frings, D. Study Protocol: Evaluating artificial intelligence-driven stress echocardiography analysis system (EASE study): mixed method study. BMJ Open.Evaluation of Web-Based Digital Intervention to Change Individual’s Drinking Behaviours
Chew, J., Morris, J., Bartlett, G. and Frings, D. (2024). Evaluation of Web-Based Digital Intervention to Change Individual’s Drinking Behaviours. Alcoholism Treatment Quarterly. https://doi.org/10.1080/07347324.2024.2381517Evaluating Doppel’s impact on Anxiety and Focus amongst adults with ADHD
Bartlett, G., Frings, D. and Chaplin, E. (2024). Evaluating Doppel’s impact on Anxiety and Focus amongst adults with ADHD. PLOS Digital Health. https://doi.org/10.1371/journal.pdig.0000555Change in vaping, smoking and dual use identities predicts quit success and cigarette usage: A prospective study of people quitting smoking with electronic cigarette support
Frings, D., Albery, I., Kimber, C., Naughton, F., Sideropoulos, V. and Dawkins, L. (2024). Change in vaping, smoking and dual use identities predicts quit success and cigarette usage: A prospective study of people quitting smoking with electronic cigarette support. British Journal of Health Psychology. https://doi.org/10.1111/bjhp.12735Does Identity as a Drinker Predict Problem Recognition Motivation in Harmful Drinkers?
Albery, I., Long, N., Kelly, I., Frings, D. and Morris, J. (2024). Does Identity as a Drinker Predict Problem Recognition Motivation in Harmful Drinkers? Social Science & Medicine. 351, p. 116967. https://doi.org/10.1016/j.socscimed.2024.116967Related Metacognitions, Desire Thinking and Identity Differentially Predict Compulsion and Withdrawal Symptoms in Problematic Instagram Use
Albery, I., Noriega, M.R and Frings, D. (2024). Related Metacognitions, Desire Thinking and Identity Differentially Predict Compulsion and Withdrawal Symptoms in Problematic Instagram Use. Addictive Behaviors. 156, p. 108043. https://doi.org/10.1016/j.addbeh.2024.108043Effectiveness of an online intervention for parents/guardians of children aged 4-7 years who are concerned about their child's emotional and behavioural development: protocol for an online randomised controlled trial (EMERGENT study).
Frings, D., Reavey, P., Chew, J., Leahy, M., Allabyrne, C. and Herteliu, C. (2024). Effectiveness of an online intervention for parents/guardians of children aged 4-7 years who are concerned about their child's emotional and behavioural development: protocol for an online randomised controlled trial (EMERGENT study). BMJ Open. 14 (3), p. e083479. https://doi.org/10.1136/bmjopen-2023-083479A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP3 REPORT
Thomas, N., Frings, D., Flood, C., Grisan, E., Wood, K., Daly, N. and Sharma, S. (2024). A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP3 REPORT. London South Bank University.Effectiveness of an online intervention for parents/guardians of children aged 4-7 years old who are concerned about their child’s emotional and behavioural development: protocol for an online randomised controlled trial (EMERGENT study)
Frings, D., Reavey, P., Chew, J., Leahy, M., Allabyrne, C. and Herteliu, C. (2024). Effectiveness of an online intervention for parents/guardians of children aged 4-7 years old who are concerned about their child’s emotional and behavioural development: protocol for an online randomised controlled trial (EMERGENT study). BMJ Open. 14 (3), p. e083479. https://doi.org/10.1136/bmjopen-2023-083479Mission impossible? Identity based incompatibilities amongst academic job roles relate to wellbeing and turnover.
Frings, D., Wood, K. and Albery, I. (2024). Mission impossible? Identity based incompatibilities amongst academic job roles relate to wellbeing and turnover. Social Psychology of Education. https://doi.org/10.1007/s11218-024-09890-7Discrimination and social identity processes predict impairment and dysfunction among heavy drinkers
Cruwys, T., Selwyn, J, Rathbone, J.A. and Frings, D. (2024). Discrimination and social identity processes predict impairment and dysfunction among heavy drinkers. Social Science & Medicine. 343, p. 116549. https://doi.org/10.1016/j.socscimed.2023.116549A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP1 Accuracy - Phase 2b Evaluation Report
Thomas, N., Frings, D., Flood, C., Grisan, E., Wood, K., Daly, N. and Sharma, S. (2023). A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP1 Accuracy - Phase 2b Evaluation Report. London South Bank University.A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP1 Accuracy - Phase 2A Evaluation Report
Thomas, N., Frings, D., Flood, C., Grisan, E., Wood, K., Daly, N. and Sharma, S. (2023). A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP1 Accuracy - Phase 2A Evaluation Report. London South Bank University.Severe traumatic brain injury in adults: a review of critical care management
McLernon, S. (2023). Severe traumatic brain injury in adults: a review of critical care management. British Journal of Neuroscience Nursing. 19 (6), pp. 206-217. https://doi.org/10.12968/bjnn.2023.19.6.206
Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions
Kimber, C., Frings, D., Albery, I., Cox, S. and Dawkins, L. (2023). Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions. London South Bank University. https://doi.org/10.18744/lsbu.95y88Mobile Phone Text Messages to Support People to Stop Smoking by Switching to Vaping: Codevelopment, Coproduction, and Initial Testing Study.
Sideropoulos, V., Vangeli, E., Naughton, F., Cox, S., Frings, D., Notley, C., Brown, J., Kimber, C. and Dawkins, L. (2023). Mobile Phone Text Messages to Support People to Stop Smoking by Switching to Vaping: Codevelopment, Coproduction, and Initial Testing Study. JMIR Formative Research. 7, p. e49668. https://doi.org/10.2196/49668An overview of traumatic brain injury in adults
Mclernon, S. (2023). An overview of traumatic brain injury in adults. British Journal of Neuroscience Nursing. 19 (4), pp. 126-129. https://doi.org/10.12968/bjnn.2023.19.4.126Mobile phone text messages to support people to stop smoking by switching to vaping: co-development, co-production, and initial testing
Sideropoulos, V., Vangeli, E., Naughton, F., Cox, S., Frings, D., Notley, C., Brown, J., Kimber, C. and Dawkins, L. (2023). Mobile phone text messages to support people to stop smoking by switching to vaping: co-development, co-production, and initial testing. JMIR Formative Research.E‐cigarette support for smoking cessation: Identifying the effectiveness of intervention components in an on‐line randomized optimization experiment
Kimber, C., Sideropoulos, V., Cox, S., Frings, D., Naughton, F., Brown, J., McRobbie, H. and Dawkins, L. (2023). E‐cigarette support for smoking cessation: Identifying the effectiveness of intervention components in an on‐line randomized optimization experiment. Addiction (Abingdon, England). 118 (11), pp. 2105-2117. https://doi.org/10.1111/add.16294Doing public health differently: How can public health departments engage with local communities through social media interventions?
Watkins, M., Mallion, J.S., Frings, D., Wills, J., Sykes, S. and Whittaker, A. (2023). Doing public health differently: How can public health departments engage with local communities through social media interventions? Public Health in Practice. https://doi.org/10.1016/j.puhip.2023.100412Public health messages during a global emergency through an online community: A discourse and sentiment analysis
Watkins, M., Mallion, J., Frings, D., Wills, J., Sykes, S. and Whittaker, A. (2023). Public health messages during a global emergency through an online community: A discourse and sentiment analysis. Frontiers in Digital Health. 5. https://doi.org/10.3389/fdgth.2023.1130784Multiple group membership, optimistic bias and infection risk in the context of emerging infectious diseases
Frings, D., Wills, J., Sykes, S., Wood, K. and Albery, I. (2023). Multiple group membership, optimistic bias and infection risk in the context of emerging infectious diseases. European Journal of Health Psychology. (30), pp. 115-125. https://doi.org/10.1027/2512-8442/a000127A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments
Thomas, N., Frings, D., Flood, C., Grisan, E., Wood, K., Daly, N. and Sharma, S. (2022). A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments. London South Bank University.A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP1 Accuracy - Phase 1 Evaluation Report
Thomas, N., Frings, D., Flood, C., Grisan, E., Wood, K., Daly, N. and Sharma, S. (2022). A pragmatic trial of an Artificial intelligence DRiven appOInTment maNagEment SyStem (ADROITNESS) in NHS outpatient departments: WP1 Accuracy - Phase 1 Evaluation Report. London South Bank University.When ingroup identities “clash”: The influence of beliefs about incompatibilities between being a Christian and a drinker affect motivation to change drinking behaviour.
Frings, D., Albery, I. and Anne, K. (2022). When ingroup identities “clash”: The influence of beliefs about incompatibilities between being a Christian and a drinker affect motivation to change drinking behaviour. Journal of Community & Applied Social Psychology. https://doi.org/10.1002/casp.2670Would you believe an intoxicated witness? The impact of witness alcohol intoxication status on credibility judgments and suggestibility
Bartlett, G., Gawrylowicz, J., Frings, D. and Albery, I. (2022). Would you believe an intoxicated witness? The impact of witness alcohol intoxication status on credibility judgments and suggestibility. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2022.983681Individual differences in selective attentional bias for healthy and unhealthy food-related stimuli and social identity as a vegan/vegetarian dissociate “healthy” and “unhealthy” orthorexia nervosa.
Albery, I., Shove, E., Bartlett, G., Frings, D. and Spada, M. (2022). Individual differences in selective attentional bias for healthy and unhealthy food-related stimuli and social identity as a vegan/vegetarian dissociate “healthy” and “unhealthy” orthorexia nervosa. Appetite. 178, p. 106261. https://doi.org/10.1016/j.appet.2022.106261Acute spontaneous intracerebral haemorrhage: current treatment and management .
Mclernon, S., Nash, P. and Werring, D. (2022). Acute spontaneous intracerebral haemorrhage: current treatment and management . British Journal of Neuroscience Nursing. 18 (3), pp. 116-124. https://doi.org/10.12968/bjnn.2022.18.3.116The effects of alcohol and co-witness information on memory reports: A field study
Bartlett, G., Albery, I.P, Frings, D. and Gawrylowicz, J. (2022). The effects of alcohol and co-witness information on memory reports: A field study. Psychopharmacology. 239, pp. 2945-2953. https://doi.org/10.1007/s00213-022-06179-5Differences in digital health literacy and future anxiety between health care and other university students in England during the COVID-19 pandemic.
Frings, D., Sykes, S., Ojo,A, Rowlands, G, Trasolini, A, Dadaczynski, K, Okan, O and Wills, J. (2022). Differences in digital health literacy and future anxiety between health care and other university students in England during the COVID-19 pandemic. BMC Public Health. 22 (658). https://doi.org/10.1186/s12889-022-13087-y(Safe) Sex on My Mind: The Effects of a Safe Sex Prime and an Alcohol Prime on Sex-related Perceptions and Behavior
Johnson, H., Albery, I., Moss, A. and Frings, D. (2022). (Safe) Sex on My Mind: The Effects of a Safe Sex Prime and an Alcohol Prime on Sex-related Perceptions and Behavior. Journal of Studies on Alcohol and Drugs. 83 (3). https://doi.org/10.15288/jsad.2022.83.439Developing a consensus-based scoring rubric to enhance practice-based assessment of student nurses' clinical competence: A Delphi study.
Almalkawi, I., Jester, Rebecca and Terry, L. (2021). Developing a consensus-based scoring rubric to enhance practice-based assessment of student nurses' clinical competence: A Delphi study. Nurse Education Today. 100, p. 104859. https://doi.org/S0260-6917(21)00116-7The intoxicated co-witness: effects of alcohol and dyadic discussion on memory conformity and event recall.
Bartlett, G., Gawrylowicz, Julie, Frings, Daniel and Albery, Ian P (2021). The intoxicated co-witness: effects of alcohol and dyadic discussion on memory conformity and event recall. Psychopharmacology. https://doi.org/10.1007/s00213-021-05776-0Factors influencing nurses' engagement with CPD activities: a systematic review.
Walter, Juliette K and Terry, Louise M (2021). Factors influencing nurses' engagement with CPD activities: a systematic review. British Journal of Nursing. 30 (1), pp. 60-68. https://doi.org/10.12968/bjon.2021.30.1.60