Application of brain pattern of National Institutes of Health stroke scale in stroke diagnosis and treatment

doi:10.11817/j.issn.1673-9248.2022.02.008

Abstract

Abstract:

Objective

To investigate the application of brain pattern of the National Institutes of Health stroke scale (NIHSS) in the diagnosis and treatment of stroke.

Methods

Sixty medical staff (30 doctors and 30 nurses) were included form the Second People's Hospital of Hefei. They were divided into experiment group (15 doctors and 15 nurses) and control groups (15 doctors and 15 nurses). The control group evaluated the condition of stroke patients according to the routine clinical data, while the experimental group evaluated it according to the conventional clinical data and NIHSS score brain chart. The efficiency of NIHSS brain pattern in the diagnosis and treatment of stroke patients was evaluated by questionnaire, and the differences of scores between two groups were compared by an independent sample t-test.

Results

The doctors in the experiment group had a higher score of mastery of the patients' condition than those in the control group [(82.60±10.67) vs (72.27±8.65)], showing a statistically significant difference (t=2.911, P=0.007). The nurses in experiment group had a higher score of mastery of the patients' condition than those in the control group [(73.33±6.91) vs (51.07±6.88)], also showing a statistically significant difference (t=8.840, P＜0.001).

Conclusion

The NIHSS brain pattern can assist medical staff in the diagnosis and treatment of stroke patients.

Key words: Stroke, Nerve, Assessment, National Institutes of Health stroke scale

Fei Li, Juncang. Wu. Application of brain pattern of National Institutes of Health stroke scale in stroke diagnosis and treatment[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(02): 106-109.

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References 10

1	GBD 2016 Neurology Collaborators. Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016 [J]. Lancet Neurol, 2019, 18(5): 459-480.
2	Lyden P, Lu M, Jackson C, et al. Underlying struc-ture of the National Institutes of Health Stroke Scale: results of a factor analysis [J]. Stroke, 1999, 30(11): 2347-2354.
3	Schlegel D, Kolb SJ, Luciano JM, et al. Utility of the NIH Stroke Scale as a predictor of hospital disposition [J]. Stroke, 2003, 34(1): 134-137.
4	Goldstein LB, Samsa GP. Reliability of the Nationalnstitutes of Health stroke scale: extension to nonneurologists in the context of a clinical trial [J]. Stroke, 1997, 28(2): 307-310.
5	Brott T, Adams HP, Olinger CP, et al. Measurements of acute cerebral infarction: a clinical examination scale [J]. Stroke, 1989, 20(7): 864-870.
6	Olavarría VV, Delgado I, Hoppe A, et al. Validity of the NIHSS in predicting arterial occlusion in cerebral infarction is time dependent [J]. Neurology, 2011, 76(1): 62-68.
7	Young FB, Weir CJ, Lees KR, et al. Comparison of the National Institutes of Health Stroke Scale with disability outcome measures in acute stroke trials [J]. Stroke, 2005, 36(10): 2187-2192.
8	Rangaraju S, Frankel M, Jovin TG. Prognosticvalueofthe24-hourneurologcal examination in anterior circulation ischemic stroke: a post hoc analysis of two randomized controlled stroke trials [J]. Interv Neurol, 2016, 4(3-4): 120-129.
9	Inoa V, Aron AW, Staff I, et al. Lower NIH stroke scale scores are required to accurately predict a good prognosis in posterior cir- culation stroke [J]. Cerebrovasc Dis, 2014, 37(4): 251-255.
10	Saver JL, Altman H. Relationship between neurologic deficit severity and final functional outcome shifts and strengthens during first hours after onset [J]. Stroke, 2012, 43(6): 1537-1541.

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