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Modeling Disease Progression in Acute Stroke Using Clinical Assessment Scales

Karlsson, Kristin E. (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Farmakometri
Wilkins, Justin J. (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Farmakometri
Jonsson, Fredrik (author)
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Zingmark, Per-Henrik (author)
Karlsson, Mats O. (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Farmakometri
Jonsson, E. Niclas (author)
Uppsala universitet,Institutionen för farmaceutisk biovetenskap,Farmakometri
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 (creator_code:org_t)
2010-09-21
2010
English.
In: AAPS Journal. - : Springer Science and Business Media LLC. - 1550-7416. ; 12:4, s. 683-691
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • This article demonstrates techniques for describing and predicting disease progression in acute stroke by modeling scores measured using clinical assessment scales, accommodating dropout as an additional source of information. Scores assessed using the National Institutes of Health Stroke Scale and the Barthel Index in acute stroke patients were used to model the time course of disease progression. Simultaneous continuous and probabilistic models for describing the nature and magnitude of score changes were developed, and used to model the trajectory of disease progression using scale scores. The models described the observed data well, and exhibited good simulation properties. Applications include longitudinal analysis of stroke scale data, clinical trial simulation, and prognostic forecasting. Based upon experience in other areas, it is likely that application of this modeling methodology will enable reductions in the number of patients needed to carry out clinical studies of treatments for acute stroke.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Farmaceutiska vetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Pharmaceutical Sciences (hsv//eng)

Keyword

Barthel index
disease progression
NIH stroke scale
NONMEM
stroke
PHARMACY
FARMACI

Publication and Content Type

ref (subject category)
art (subject category)

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