Minerva

Best predictors of stroke outcome . . . and other stories

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i6345 (Published 30 November 2016) Cite this as: BMJ 2016;355:i6345

Predicting good or dire outcomes for stroke

Doctors are reasonably good at predicting functional recovery from stroke, but two simple scoring systems are better at distinguishing between those who will have a good recovery and those who will be severely dependent or are likely to die. These scores are FSV, standing for five simple variables, and PLAN, standing for preadmission comorbidities, level of consciousness, age, and focal neurological deficit. Applied to 575 patients of median age 76 who had ischaemic or haemorrhagic stroke, the scores outperformed doctors’ predictions: FSV for predicting good outcomes, and PLAN for predicting dire outcomes (Age Ageing doi:10.1093/ageing/afw197).

Continuity of care for chronic fatigue syndrome

Judging by social media, many people living with chronic fatigue syndrome are unhappy with the medical care they receive. However, a questionnaire survey …

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