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• W2148889289 abstract "Scientific guidelines recommend the National Institutes of Health Stroke Scale for ischemic stroke assessment. However, many nurses find slim National Institutes of Health Stroke Scale versions or the Glasgow Coma Scale easier to use.To compare 3 slim versions of the National Institutes of Health Stroke Scale and the Glasgow Coma Scale with the full National Institutes of Health Stroke Scale.Components of the full National Institutes of Health Stroke Scale and Glasgow Coma Scale were abstracted from records of consecutive stroke patients. Items were subtracted from the full National Institutes of Health Stroke Scale, with items contained in slim versions retained. False-negative rates for neurological disability were calculated for the slim versions and the Glasgow Coma Scale.Data were collected from 172 acute stroke patients (median [interquartile range] 6 [3-12] for National Institutes of Health Stroke Scale, 15 [12-15] for Glasgow Coma Scale): 143 (83%) were ischemic stroke patients (27% posterior circulation strokes) and 29 (17%) were intracerebral hemorrhage patients. The value of slim scales and the Glasgow Coma Scale declined in a stepwise manner as the full National Institutes of Health Stroke Scale decreased because of false-negative results despite the presence of a measurable disabling deficit. False-negative rates were 5% to 19% on slim versions and 56% with the Glasgow Coma Scale.Use of slim scales, and in particular the Glasgow Coma Scale, substantially decreases the value of a structured neurological assessment, particularly in patients with low National Institutes of Health Stroke Scale scores." @default.
• W2148889289 created "2016-06-24" @default.
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• W2148889289 date "2012-10-31" @default.
• W2148889289 modified "2023-10-16" @default.
• W2148889289 title "Slim Stroke Scales for Assessing Patients With Acute Stroke: Ease of Use or Loss of Valuable Assessment Data?" @default.
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• W2148889289 doi "https://doi.org/10.4037/ajcc2012633" @default.
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