NIH stroke scale

FIGURE 5.3 The Albumin in Acute Stroke (ALIAS) Phase II Trial. Data represent mean SEM. p-Value according to multiple regression analysis. Dead patients have been censored, (a) Mean change in NIH Stroke Scale score over time since treatment in rt-PA and non-rt-PA cohorts receiving the three lowest doses (Tiers I, 0.34 mg/kg II, 0.68 mg/kg III, 1.03 mg/kg) and three highest doses of albumin (Tiers IV, 1.37 mg/kg V, 1.71 mg/kg VI, 2.03 mg/kg). 

Shafqat S, Kvedar JC, Guanci MM, Chang Y, Schwamm LH. Role for telemedicine in acute stroke. Feasibility and reliability of remote administration of the NIH stroke scale. Stroke 1999 30 2141-2145. 

Goldstein LB, Bertels C, Davis IN. Inteirater reliability of the NIH stroke scale. Arch Neurol 1989 46 660-662. 

Tunstall-Pedoe H, Kuulasmaa K, Amouyel P et al. (1994). Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, event rates and case-fatality rates in 38 populations from 21 countries in four continents. Circulation 90 583-612 Wald NJ, Law MR (2003). A strategy to reduce cardiovascular disease by more than 80%. British Medical Journal 326 1419 White H, Boden-Albala B, Wang C et al. (2005). Ischemic stroke subtype incidence among whites, blacks and Hispanics the Northern Manhattan Study. Circulation 111 1327-1331 Wityk RJ, Pessin MS, Kaplan RF et al. (1994). Serial assessment of acute stroke using the NIH Stroke Scale. Stroke 25 362-365. 

Wityk RJ, Pessin MS, Kaplan RF et al (1994). Serial assessment of acute stroke using the NIH Stroke Scale. Stroke 25 362-365... 

The objective, clinical assessment of the stroke patient is important for therapeutic decisions and prognosis. The most valuable instrument during the acute stroke period is the NIH stroke scale, which is listed in Table 11.7. Two other commonly used clinical stroke scales to assess premorbid functioning or long-term functional recovery are the Modified Rankin Scale (Table 11.8) and the Barthel Index (Table 11.9). 

Unless airway compromise requires immediate need for intubation, facihtate rapid assessment of NIH Stroke Scale by stroke team prior to intubation... 

Lyden, P., Brott, T., Tilley, B., Welch, K.M., Mascha, E.J., Levine, S., Haley, E.C., Grotta, J., and Mailer, J. (1994) Improved reliability of the NIH stroke scale using video training. NINDS TPA Stroke Study Group. Stroke, 25 2220-2226. 

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