• Critical care clinics · Jan 2023

    Review

    Neuroprognostication.

    • Victoria Fleming and Susanne Muehlschlegel.
    • Department of Neurology, University of Massachusetts Chan Medical School, 55 Lake Avenue North, S-5, Worcester, MA 01655, USA.
    • Crit Care Clin. 2023 Jan 1; 39 (1): 139152139-152.

    AbstractPatients with severe acute brain injury are left incapacitated, critically ill, and unable to make their own medical decisions. Surrogate decision-makers must make life-or-death decisions for patients and rely on clinicians' prognostication for guidance. No guidelines currently exist to guide clinicians in how to prognosticate; hence, neuroprognostication is still considered an "art" leaving room for high variability. This review examines the current literature on prognostication in neurocritical care, identifies ongoing challenges that exist in the field, and provides suggestions for future research with the goal to ameliorate variability and focus on scientific and patient-centered, rather than artistic approaches to prognostication.Copyright © 2022 Elsevier Inc. All rights reserved.

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