0
ARTICLE |

Predicting the Outcome From Hypoxic-Ischemic Coma-Reply

David E. Levy, MD; Fred Plum, MD; John C. Caronna, MD; Robert H. Lapinski, PhD
JAMA. 1986;255(12):1570-1571. doi:10.1001/jama.1986.03370120043012.
Text Size: A A A
Published online

In Reply.—  Drs Jørgensen and Rosenberg have raised a number of questions about application of our prediction algorithms to recovery from nontraumatic coma.1The letter cites Dr Black's2 reservations about the usefulness of predictive techniques derived from retrospective data but does not state, as Dr Black did, that we recognized that limitation and proposed that the techniques be tested prospectively. Our data were, as noted, collected prospectively; the analysis was performed later, after the best functional outcome had been determined. Jørgensen and his colleagues similarly collected data on patients after cardiac arrest3,4 and, like us, analyzed the data subsequently. This is the only way hypotheses for subsequent testing can be derived.They comment on the possibility of high interobserver variability in our study because data from several centers were involved. Our study was designed to minimize this possibility by relying on strictly defined definitions of all clinical

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();