Table 2.
Clinical setting value | Predictors remaining in final model | Estimate (β) | P |
---|---|---|---|
WFNS grade 4 (day 3) | Specialty (neurosurgery) | 0.46 | 0.003 |
WFNS grade 1 (day 3) | Transfusion protocol | -0.42 | 0.0008 |
Transfusion protocolb Specialty (neurosurgery)c |
0.88 | <0.0001 | |
TCD vasospasm (day 6) | Specialty (neurosurgery) | 0.31 | 0.04d |
DCI (day 7) | Multimodal neurological monitoring | 0.32 | 0.04 |
aMultivariable analysis was performed using generalized linear models with stepwise backward elimination of the least significant variable where P > 0.05. Initial models included country (United States vs. Canada), specialty (neurosurgery vs. critical care), multimodal monitoring (yes vs. no), use of a transfusion protocol (yes vs. no) and years in practice (continuous variable). All interactions were assessed, and those for which P < 0.05 in univariate analysis were incorporated into initial multivariable models. WFNS, World Federation of Neurological Surgeons scale; TCD, transcranial Doppler; DCI, delayed cerebral ischemia. bNeurosurgical specialty significantly modified practices among clinicians who use a protocol (see Results section for details); cYears in practice significantly modified practices among neurosurgeons (see Results section for details); dWhite's heteroscedasticity-specific standard error.