Neurology
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Multicenter Study Observational Study
Full medical support for intracerebral hemorrhage.
This study tested the hypothesis that patients without placement of new do-not-resuscitate (DNR) orders during the first 5 days after intracerebral hemorrhage (ICH) have lower 30-day mortality than predicted by the ICH Score without an increase in severe disability at 90 days. ⋯ Avoidance of early DNR orders along with guideline concordant ICH care results in substantially lower mortality than predicted. The observed functional outcomes in this study provide clinicians and families with data to determine the appropriate goals of treatment based on patients' wishes.
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Randomized Controlled Trial Multicenter Study Comparative Study
Cluster randomized controlled trial of TIA electronic decision support in primary care.
To test if TIA/stroke electronic decision support in primary care improves management. ⋯ This study provides Class II evidence that a primary care electronic decision support tool improves guideline adherence and might reduce 90-day stroke risk.