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Gabler L, Gojo J, Lötsch D, Kirchhofer D, van Schoonhoven S, Stojanovic M, Schmidt HM, Ensle D, Czech T, Haberler C, Slavc I, Spiegl-Kreinecker S, Berger W. P04.51 TERT promoter mutation-driven TERT activation is mediated by ETS1 in BRAF V600E mutated glioma. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy139.285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L Gabler
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
- Comprehensice Cancer Center-Central Nervous System Tumors Unit, Medical University, Vienna, Austria
| | - J Gojo
- Department of Pediatrics and Adolescent Medicine, Medical University, Vienna, Austria
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
| | - D Lötsch
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
- Department of Pediatrics and Adolescent Medicine, Medical University, Vienna, Austria
| | - D Kirchhofer
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
- Department of Pediatrics and Adolescent Medicine, Medical University, Vienna, Austria
| | - S van Schoonhoven
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
| | - M Stojanovic
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
| | - H M Schmidt
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
| | - D Ensle
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
| | - T Czech
- Department of Neurosurgery, Medical University, Vienna, Austria
| | - C Haberler
- Department of Pediatrics and Adolescent Medicine, Medical University, Vienna, Austria
- Institute of Neurology, Medical University, Vienna, Austria
| | - I Slavc
- Department of Pediatrics and Adolescent Medicine, Medical University, Vienna, Austria
- Institute of Neurology, Medical University, Vienna, Austria
| | | | - W Berger
- Department of Medicine I, Institute of Cancer Research, Medical University, Vienna, Austria
- Comprehensice Cancer Center-Central Nervous System Tumors Unit, Medical University, Vienna, Austria
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Finley Caulfield A, Gabler L, Lansberg MG, Eyngorn I, Mlynash M, Buckwalter MS, Venkatasubramanian C, Wijman CAC. Outcome prediction in mechanically ventilated neurologic patients by junior neurointensivists. Neurology 2010; 74:1096-101. [PMID: 20368630 DOI: 10.1212/wnl.0b013e3181d8197f] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Physician prediction of outcome in critically ill neurologic patients impacts treatment decisions and goals of care. In this observational study, we prospectively compared predictions by neurointensivists to patient outcomes at 6 months. METHODS Consecutive neurologic patients requiring mechanical ventilation for 72 hours or more were enrolled. The attending neurointensivist was asked to predict 6-month 1) functional outcome (modified Rankin scale [mRS]), 2) quality of life (QOL), and 3) whether supportive care should be withdrawn. Six-month functional outcome was determined by telephone interviews and dichotomized to good (mRS 0-3) and poor outcome (mRS 4-6). RESULTS Of 187 eligible patients, 144 were enrolled. Neurointensivists correctly predicted 6-month functional outcome in 80% (95% confidence interval [CI], 72%-86%) of patients. Accuracy for a predicted good outcome was 63% (95% CI, 50%-74%) and for poor outcome 94% (95% CI, 85%-98%). Excluding patients who had life support withdrawn, accuracy for good outcome was 73% (95% CI, 60%-84%) and for poor outcome 87% (95% CI, 74%-94%). Accuracy for exact agreement between neurointensivists' mRS predictions and actual 6-month mRS was only 43% (95% CI, 35%-52%). Predicted accuracy for QOL was 58% (95% CI, 39%-74%) for good/excellent and 67% (95% CI, 46%-83%) for poor/fair. Of 27 patients for whom withdrawal of care was recommended, 1 patient survived in a vegetative state. CONCLUSIONS Prediction of long-term functional outcomes in critically ill neurologic patients is challenging. Our neurointensivists were more accurate in predicting poor outcome than good outcome in patients requiring mechanical ventilation >or=72 hours.
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Affiliation(s)
- A Finley Caulfield
- Stanford Stroke Center, Stanford University Medical Center, Palo Alto, CA, USA.
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Hoogers G, Schaus S, Loos V, Hoelzle M, von Fehren T, Hatscher S, Urtel H, Womann M, Banhardt V, Andreas T, Gabler L. Strom aus Propan: Ein mobiles 2 kW Brennstoffzellensystem. CHEM-ING-TECH 2007. [DOI: 10.1002/cite.200750424] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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