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How to Use the NIHSS to Assess Stroke Severity - Oren Zarif - Nih Stroke Scale


The NIHSS is a simple and easy-to-use score for assessing the severity of a stroke. It is best to administer it at the earliest possible opportunity after the onset of symptoms, and again at regular intervals, or whenever the patient's condition changes. It helps healthcare professionals monitor progress and tailor treatment based on the patient's responses. As with any score, it requires careful consideration and validation.

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NIHSS is a 15-item neurologic examination for acute stroke patients. It measures the severity of neurological deficit and is valid for predicting the size of the lesion. It is based on the Cincinnati stroke scale and the Oxbury Initial Severity Scale, and consists of 15 items graded on a 3-point ordinal scale. The scale was developed with the goal of making it as easy as possible to administer and understand.

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NIHSS scores are valuable for comparing the severity of a stroke over time. Because stroke has different effects on the brain region, not all strokes are equal. This tool allows healthcare providers to compare the effects of strokes over time, guiding treatment decisions. It also gives clinicians and researchers a standard scale to compare patients. So, it is important to use NIHSS scores for assessment and evaluation of stroke patients.

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NIHSS scores range from 0 to 42, with a higher score indicating greater severity. The recommendations of this scale are based on a panel of experts and a modified Delphi process. While it was initially designed to evaluate differences between different clinical trial interventions, NIHSS has gained much wider acceptance and is increasingly used for post-acute care planning. So, if you are considering using NIHSS for your patients, here are some tips:

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NIHSS scores can also help you determine a patient's severity. The NIHSS contains 11 items that are scored from 0 to 4, each representing a specific level of ability. A 0 indicates normal function, while a higher score is indicative of some degree of impairment. The individual scores from each item are added up to create the total score. The maximum NIHSS score for a patient is 42.

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NIHSS scores are important for determining how healthy a patient is. While the NIHSS has not been evaluated for its reproducibility, it is still widely used. In addition to establishing its reliability, training and re-certification are necessary for implementing the NIHSS. If you choose to use an online web-based training site, ensure you've gone through proper training. You should also consider the frequency of re-certification.

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Studies that have evaluated recombinant tissue plasminogen activator (rTPA) for stroke patients show that this medication significantly increases the proportion of patients who improve at least 4 points within 24 hours of treatment. This suggests that rtPA can be a useful tool for the assessment of patients with acute stroke. However, be aware of the potential risks of recombinant TPA and take the appropriate steps to protect yourself from serious injuries.

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NIHSS scores can also help you determine a patient's severity. The NIHSS contains 11 items that are scored from 0 to 4, each representing a specific level of ability. A 0 indicates normal function, while a higher score is indicative of some degree of impairment. The individual scores from each item are added up to create the total score. The maximum NIHSS score for a patient is 42.

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NIHSS scores are important for determining how healthy a patient is. While the NIHSS has not been evaluated for its reproducibility, it is still widely used. In addition to establishing its reliability, training and re-certification are necessary for implementing the NIHSS. If you choose to use an online web-based training site, ensure you've gone through proper training. You should also consider the frequency of re-certification.

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Studies that have evaluated recombinant tissue plasminogen activator (rTPA) for stroke patients show that this medication significantly increases the proportion of patients who improve at least 4 points within 24 hours of treatment. This suggests that rtPA can be a useful tool for the assessment of patients with acute stroke. However, be aware of the potential risks of recombinant TPA and take the appropriate steps to protect yourself from serious injuries.

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