Validation of the National Institutes of Health Stroke Scale in Intracerebral Hemorrhage

Autor: Wendy Dusenbury, Georgios Tsivgoulis, Jason Chang, Nitin Goyal, Victoria Swatzell, Andrei V. Alexandrov, Patrick Lyden, Anne W. Alexandrov
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Stroke: Vascular and Interventional Neurology, Vol 3, Iss 4 (2023)
Druh dokumentu: article
ISSN: 2694-5746
DOI: 10.1161/SVIN.123.000834
Popis: Background We sought to determine if the National Institutes of Health Stroke Scale (NIHSS) has a greater discriminative power than Glasgow coma scale (GCS) to identify patients at risk of poor early functional outcomes and large hematoma volumes. Methods We prospectively collected clinical assessments, imaging, and outcome data in consecutive patients with intracerebral hemorrhage, and determined the ability of GCS and NIHSS to predict poor functional outcome (modified Rankin scale 3–6) and hematoma volume >30 cm3 using receiver operating characteristics analysis, C‐statistics, and the DeLong test. Results We studied 672 patients with intracerebral hemorrhage (mean age 62±14 years; 56% men; median intracerebral hemorrhage score=1, interquartile range (IQR) 0–2; median intracerebral hemorrhage volume 7 cm3, IQR 2–19) with median NIHSS of 8 (IQR 3–18) and GCS 15 (IQR 7–15). NIHSS correlated strongly to GCS (r=−0.773; P
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