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Withdrawal of Support in Intracerebral Hemorrhage May Lead to Self-Fulfilling Prophecies
Neurol 56:766-772, Becker,K.J.,et al, 2001
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Article Abstract
Withdrawal of support in patients with severe brain injury invariably leads to death. Preconceived notions about futility of care in patients with intracerebral hemorrhage (ICH) may prompt withdrawal of support, and modeling outcome in patien t populations in whom withdrawal of support occurs may lead to self-fulfilling prophecies. The most important prognostic variable in determining outcome after ICH is the level of medical support provided. Withdrawal of support in patients felt likely to h ave a "poor outcome" biases predictive models and leads to self-fulfilling prophecies. Our data show that individual patients in traditionally "poor outcome" categories can have a reasonable neurologic outcome when treated aggressively.
 
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intracerebral hemorrhage
life support,withdrawal of
mortality
prognosis

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