Abstract WP456: Validation of the NIH Stroke Scale Score for Clinical Assessment of Intracerebral Hemorrhage
| Autor: | G Tsivgoulis, Andrei V. Alexandrov, James P Rhudy, Jason J. Chang, Anne W. Alexandrov, Victoria Swatzell, Barbara B. Brewer, Wendy Dusenbury, Nitin Goyal |
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| Rok vydání: | 2019 |
| Předmět: |
Advanced and Specialized Nursing
Intracerebral hemorrhage medicine.medical_specialty education.field_of_study NIH stroke scale business.industry Population Formal validation Glasgow Coma Scale 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine Emergency medicine medicine Neurology (clinical) Cardiology and Cardiovascular Medicine education business 030217 neurology & neurosurgery |
| Zdroj: | Stroke. 50 |
| ISSN: | 1524-4628 0039-2499 |
| DOI: | 10.1161/str.50.suppl_1.wp456 |
| Popis: | Background: Both Glasgow Coma Scale (GCS) and NIH Stroke Scale (NIHSS) are commonly used as serial assessment tools in ICH, however, the NIHSS lacks formal validation in this population. Methods: We prospectively collected ICH assessments, imaging, and outcome data. Direct comparisons of discrimination were made using GCS and NIHSS on prediction of 24-hour poor functional outcome (mRS-3-6) and hematoma volume >30cm 3 using ROC analysis; c statistics were calculated and compared with DeLong test. Results: 672 ICH patients (mean age 62±14 years; 56% men; median ICH score = 1, IQR 0-2; median ICH volume 7cm 3 , IQR 2-19) were included in the analysis. Median NIHSS and GCS were 8 (IQR 3-18) and 15 (IQR 7-15) respectively. NIHSS correlated strongly to GCS (r -0.773; p Conclusions: The NIHSS has greater discriminative power than GCS to identify patients with poor functional outcomes and large hematoma volumes. |
| Databáze: | OpenAIRE |
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