National Institutes of Health Stroke Scale in patients with primary intracerebral hemorrhage

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
Cinzia FinocchiCarlo Gandolfo

Abstract

The National Institutes of Health Stroke Scale (NIHSS) is able to predict mortality and functional outcome in patients with ischemic stroke. Its role in primary intracerebral hemorrhage (ICH) is not clear. The objective of our study was to investigate whether NIHSS is a reliable instrument of clinical monitoring and correlates with mortality and functional outcome in ICH. One hundred fifty-six consecutive subjects with primary ICH were included. We evaluated NIHSS at admission. The functional state after a 30-day and a 3-month-long follow-up was assessed by the modified Rankin Scale (mRS). Spearman's rank correlation coefficient analysis was used for statistics. Sensitivity, specificity, positive predictive value, negative predictive value, global accuracy, and ROC curve were computed using the median score 7 as NIHSS cutoff and the score 4 as mRS cutoff. Median NIHSS score at admission was 7 (16-4); the mean (± SD) was 10.82 (± 8.27). Thirty-two patients (20.5%) died within 30 days and other 22 (14.1%) within 3 months. The median mRS score at 3 months was 4 (6-1); the mean (± SD) was 3.38 (± 2.42). We found a statistically significant correlation between initial NIHSS score and mRS score after 30 days (0.74) and 3 months (0.66...Continue Reading

References

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Citations

Sep 11, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Vittorio ManteroAndrea Salmaggi
Dec 6, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Claire Donnellan, David Werring
Apr 4, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Federico ReaGiovanni Corrao
Nov 24, 2020·The Journal of Clinical Hypertension·Jingjing ZhaoUNKNOWN CHASE Study Group
Jul 1, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Stefan P HaiderSeyedmehdi Payabvash
Jul 21, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Yuji FujinoToshiyuki Fujiwara
Sep 2, 2021·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Amy LiDaiWai M Olson
Sep 28, 2021·International Journal of Stroke : Official Journal of the International Stroke Society·Stefan P HaiderSeyedmehdi Payabvash

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