Distribution of National Institutes of Health Stroke Scale in the Cincinnati/Northern Kentucky Stroke Study
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Open Access
- 1 November 2013
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Stroke
- Vol. 44 (11), 3211-3213
- https://doi.org/10.1161/strokeaha.113.002881
Abstract
Background and Purpose— Little is known about the distribution of National Institutes of Health Stroke Scale (NIHSS) scores from patients with ischemic stroke sampled from population-based studies. We describe the distribution of NIHSS in ischemic stroke cases from the Cincinnati/Northern Kentucky Stroke Study. Methods— Within a biracial population of 1.3 million, all strokes among area residents in 2005 were ascertained by screening discharge records at local hospitals and outpatient clinics. A sampling scheme was developed to ascertain additional cases presenting to physician offices and nursing homes, not identified through the other sources. All confirmed ischemic stroke cases underwent chart abstraction, and a retrospective NIHSS (rNIHSS) score (range, 0–42) was generated on the basis of initial physician examination findings. Results— There were 2233 ischemic stroke cases identified during the 12-month study. The overall median rNIHSS score was 3 (interquartile range, 1–7). Median rNIHSS score was 3, 7, and 1, respectively, for stroke cases ascertained through the admitted, in-hospital, and out-of-hospital sources. Median rNIHSS was significantly higher in subjects ≥80 years compared with younger cases (4 versus 3). Conclusions— More than half of all ischemic stroke cases have mild symptom severity on initial presentation (ie, rNIHSS≤3). Monitoring trends in NIHSS represents a legitimate target for population-based surveillance efforts.This publication has 14 references indexed in Scilit:
- Relationship of National Institutes of Health Stroke Scale to 30‐Day Mortality in Medicare Beneficiaries With Acute Ischemic StrokeJournal of the American Heart Association, 2012
- Zero on the NIHSS Does Not Equal the Absence of StrokeAnnals of Emergency Medicine, 2011
- Risk Score for In-Hospital Ischemic Stroke Mortality Derived and Validated Within the Get With The Guidelines–Stroke ProgramCirculation, 2010
- Stroke Incidence Is Decreasing in Whites But Not in BlacksStroke, 2010
- Long-Term Functional Recovery After First Ischemic StrokeStroke, 2009
- In-Hospital Stroke in a Statewide Stroke RegistryCerebrovascular Diseases, 2007
- Trends in Incidence, Lifetime Risk, Severity, and 30-Day Mortality of Stroke Over the Past 50 YearsPublished by American Medical Association (AMA) ,2006
- The Impact of Mild Stroke on Meaningful Activity and Life SatisfactionJournal Of Stroke & Cerebrovascular Diseases, 2006
- Characteristics of In-Hospital Onset Ischemic StrokeEuropean Neurology, 2006
- Retrospective Assessment of Initial Stroke Severity With the NIH Stroke ScaleStroke, 2000