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What Is the NIHSS Stroke Scale? - Oren Zarif - Nih Stroke Scale


The NIHSS is a validated questionnaire to measure the effects of a stroke on patients' mental and physical status. It should be administered as soon as possible after the onset of symptoms and at regular intervals to assess progress and identify any improvements in the patient's condition. In addition, patients should be stimulated with an noxious stimulus such as rubbing their chest. In addition, the NIHSS allows healthcare providers to quantify improvements and tailor treatment accordingly.

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In one study, Adams et al. (2003) assessed the NIHSS in patients with acute stroke. During the first 24 hours after the stroke, the scores were recorded. Twenty-one percent of patients were discharged home, while 30 percent were discharged to rehabilitation or long-term nursing facilities. The NIHSS score significantly influenced the likelihood of discharge home, as patients with a score of 6 or less were more likely to recover at home. However, if the patient's NIHSS score was high, they were more likely to be transferred to rehabilitation or long-term care.

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The NIHSS is not an exact science. Neurologists use detailed clinical records to communicate about the condition of a patient and how it is progressing. While the NIHSS is not the main point of assessment, its uniformity is helpful for communicating the progress of a patient's stroke. Further, the NIHSS is often a good tool for communicating the condition of a stroke patient to others.

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The NIHSS was originally designed as a research tool. Although it has been widely adopted in the clinical setting, it was originally developed for the purpose of assessing the severity of neurological impairment after a stroke. The NIHSS has proven to be an effective measure of stroke disability and has been used to identify patients who are more likely to benefit from reperfusion therapies. This tool also helps researchers determine which treatments and rehabilitation programs work best for stroke patients.

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The NIHSS was designed to facilitate reproducibility, and its scoring rules were developed by a panel of experts using a modified Delphi process. While the NIHSS was initially developed for clinical trials, it is now widely used for initial assessment and post-acute care planning. Its reliability is questioned, and it is not without its drawbacks. And as it turns out, it doesn't work very well in clinical practice.

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There are 11 elements to the Alzheimer's disease and stroke scale. Each element is evaluated with a score ranging from 0 to 4, with some elements containing only a scale of 0 to 2. Generally, the higher the score, the more significant the impairment. The first element, level of consciousness, consists of 3 sub-elements. This test evaluates a patient's alertness, responsiveness, and ability to follow simple commands.

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The mNIHSS has also been validated, allowing for more reliable results. Its kappa values ranged from 0.841 to 0.95, which is better than the original NIHSS. Furthermore, the mNIHSS can be administered by wireless telemedicine or site-independent telemedicine. It can also be used to determine the volume of infarcts. This is the first step toward determining if it is appropriate for use in practice.

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The NIHSS has also been studied for the purpose of understanding whether or not a patient will die from their stroke. Its NIHSS score is correlated with the post-admission Barthel Index score, which predicts the length of stay and destination of hospitalization. In addition, the NIHSS score contributes to explanations of hospital charges. However, this is not a comprehensive review of the NIHSS, but rather a snapshot of its use in clinical practice.

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One recent study examined the NIHSS and the recombinant tissue plasminogen activator (RPA). The researchers used univariate and multivariate logistic regression analysis to assess whether pre-treatment NIHSS score was an independent predictor of outcome at 60 days. The findings revealed that the lower the pre-treatment NIHSS score, the better the outcome was. The NIHSS score had an OR of 1.28, indicating that it is a useful tool for predicting clinical outcome.

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