Useless because the prediction is not for 100% recovery! The only goal in stroke. DO THE GODDAMN RESEARCH THAT GETS US THERE!
You'll want that when you are the 1 in 4 per WHO that has a stroke!
The latest here:
Subacute Neurological Improvement Predicts Favorable Functional Recovery After Intracerebral Hemorrhage: INTERACT2 Study
Abstract
BACKGROUND:
The
frequency and prognostic significance of subacute neurological
improvement (SNI) on 90-day outcomes after acute intracerebral
hemorrhage are unknown.
METHODS:
Secondary
analyses of participant data from the INTERACT2 trial (second Intensive
Blood Pressure Reduction in Acute Intracerebral Hemorrhage Trial). SNI
included any, moderate, significant, and substantial neurological
improvement defined as ≥1, ≥2, ≥3, and ≥4 points decrease, respectively,
on the National Institutes of Health Stroke Scale from 24 hours to 7
days after intracerebral hemorrhage. Logistic regression models were
used to assess associations of SNI and death or major disability
(modified Rankin Scale score of 3–6), major disability (modified Rankin
Scale scores, 3–5), and death alone at 90 days. Data are reported as
odds ratios and 95% CIs.
RESULTS:
Of
2571 patients included in analyses, 1492 (58.0%), 1057 (41.1%), 731
(28.4%), and 490 (19.1%) patients experienced any, moderate,
significant, and substantial SNI (24 hours to 7 days) after
intracerebral hemorrhage, respectively. After adjustment for key
confounders, any SNI was associated with 49%, 25%, and 65% reduced odds
of death or major disability (odds ratio, 0.51 [95% CI, 0.42–0.63]),
major disability alone (odds ratio, 0.75 [95% CI, 0.63–0.90]), and death
(odds ratio, 0.35 [95% CI, 0.24–0.50]), respectively. Moderate,
significant, and substantial SNI were also significantly associated with
decreased odds of death or major disability at 90 days. The
relationship between any SNI and study outcomes was consistent in most
subgroups, including age and baseline hematoma volume. Early intensive
blood pressure-lowering treatment did not increase the odds of SNI.
CONCLUSIONS:
SNI
from 24 hours to 7 days is common after intracerebral hemorrhage and
predicts a lower likelihood of death or major disability.
REGISTRATION:
URL: https://www.clinicaltrials.gov; Unique identifier: NCT00716079.
Graphical Abstract
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