prognosis 36

COMPLETED PROGNOSIS WORKSHEET: Page 1 of 3

Clinical Question : Prediction of arterial pressure increase after fluid
challenge
Are the results of this prognosis study valid?
1. Was a defined, representative sample of Ya, sampel jelas dengan tekanan arteri
patients assembled at a common
rata-rata < 65 mmHg
(usually early) point in the course of
their disease?

2. Was patient follow-up sufficiently long

and complete?

Ya. Pasien ditindaklanjuti setelah

pemberian cairan 1 jam setelah
pemberian.

3. Were objective outcome criteria

applied in a blind fashion?

Tidak diterapkan secara buta.

4. If subgroups with different prognoses

are identified, was there adjustment for
important prognostic factors?

Tidak ada penyesuaaian untuk pasie n

dalam keadaan tertentu.

5. Was there validation in an independent

group (test-set) of patients?

Iya validasi bergantung pada pasien.

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prognosis 36

COMPLETED PROGNOSIS WORKSHEET:

Page 2 of 3

Are the valid results of this prognosis study important?

1. How likely are the outcomes over
time?

Tidak dijelaskan dalam jurnal

2. How precise are the prognostic

estimates?

Dapat dilihat dari interval kepercayaan

95 % hasil OR : > 0,1 hasilnya secara
statistic tidak signifikan

If you want to calculate a Confidence Interval around the measure of Prognosis: (see
Appendix 1 in the EBM book)
Clinical Measure
Standard Error (SE)
Typical calculation of CI
Proportion (as in the rate of
If p = 24/60 = 0.4 (or 40%) &
{p x (1-p) / n}
some prognostic event, etc.)
where p is proportion and n is n=60
where:
number of patients
SE={0.4 x (1-0.4) / 60} =
the number of patients = n
0.063 (or 6.3%)
the proportion of these
patients who experience the
event = p
n from your evidence:
________

95% CI is 40% +/- 1.96 x

6.3% or 27.6% to 52.4%
{p x (1-p) / n}
where p is proportion and n is
number of patients

Your calculation:
SE: ____________
95% CI:

p from your evidence:

________

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prognosis 36

COMPLETED PROGNOSIS WORKSHEET:

Clinical Question :

Page 3 of 3

Can you apply this valid, important evidence about prognosis in caring for your
patient?
1. Were the study patients similar to your
own?

Tidak

2. Will this evidence make a clinically

important impact on your conclusions
about what to offer or tell your
patient?

Ya, penelitian ini penting dengan

pemberian cairan tidak meningkatkan
tekanan arteri disepertiga dari pasien
sakit kritis hipotensi.

Kesimpulan
- Kurang valid
- Kurang penting
- Tidak dapat diterapkan

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