RT Journal Article
SR Electronic
T1 BET 1: The Ottawa Subarachnoid Hemorrhage Clinical Decision Rule shows high sensitivity but limited evidence of patient benefit
JF Emergency Medicine Journal
JO Emerg Med J
FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
SP 653
OP 655
DO 10.1136/emermed-2021-211807.2
VO 38
IS 8
A1 Law, Dorothy
A1 Hirst, Robert
A1 Horner, Daniel
YR 2021
UL http://emj.bmj.com/content/38/8/653.2.abstract
AB A short-cut review of the literature was carried out to examine the diagnostic test characteristics and potential patient benefits through the use of the Ottawa Subarachnoid Haemorrhage Clinical Decision Rule. Nine papers were identified as suitable for inclusion using the reported search strategy. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of the best papers are tabulated. It is concluded that the Ottawa Clinical Decision Rule has a high sensitivity for the diagnosis of subarachnoid haemorrhage; however, there is limited robust evidence of international generalisability and no evidence of improved patient outcomes following implementation. Further prospective research is required in populations with variable prevalence to evaluate the safety and effectiveness of this intervention, compared with routine evaluation strategies.