What question did this study set out to answer?

Clarify the diagnostic necessity of neuroimaging compared to clinical scoring systems for excluding intracranial hemorrhage prior to acute stroke interventions.

September 21, 2010JAMA

Effect of Binge Drinking on the Heart as Assessed by Cardiac Magnetic Resonance Imaging

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Population

Patients with stroke

Comparison

Clinical findings and stroke scores vs Neuroimaging

Design

Editorial

Authors

AZAnja ZagrosekCardiac Imaging DMDaniel MessroghliCardiac Imaging OSOlaf SchulzPioneer (United States)

Discussion

Member takes

Implication

While clinical stroke scores can decrease the probability of hemorrhage, neuroimaging remains necessary to exclude hemorrhage with diagnostic certainty before initiating anticoagulation or thrombolytic therapy.

Key Points

Clarify the diagnostic necessity of neuroimaging compared to clinical scoring systems for excluding intracranial hemorrhage prior to acute stroke interventions.
Evaluated correspondence discussing clinical prediction models, including the Siriraj and Guy's hospital stroke scores, applied in hospital settings.
Assessed existing literature limitations regarding the classification of intracranial hemorrhages by anatomical location and lesion volume.
Clinical findings can reduce the pre-test probability of intracranial hemorrhage, but neuroimaging remains mandatory to rule out bleeding before starting anticoagulation or thrombolytic therapy.
Data regarding hemorrhage volume and location were unavailable in the reviewed evidence base, highlighting the need for future targeted research.

Structured PICO

Population

Patients with stroke

Intervention

Clinical findings and stroke scores (Siriraj and Guy's hospital stroke scores)

Comparator

Neuroimaging

Outcome

Probability of hemorrhage

Limitations

Data necessary to classify hemorrhages by volume and location were unavailable in the reviewed studies

Cite This Study

Zagrosek et al. (2010) studied this question.

synapsesocial.com/papers/6a6f87d5f44fa9f079dcfb5c https://doi.org/10.1001/jama.2010.1343

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Effect of Binge Drinking on the Heart as Assessed by Cardiac Magnetic Resonance Imaging

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Effect of Binge Drinking on the Heart as Assessed by Cardiac Magnetic Resonance Imaging

Discussion

Member takes

Implication

Key Points

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider