Assessment of Initial Stroke Severity by National Institute Health Stroke Scale (NIHSS) Score at Admission

Ghose, Swapon Kumar; Ahmed, Kazi Gias Uddin; Chowdhury, Ahmed Hossian; Hasan, Atm Hasibul; Saha, Kanu Lal; Mahmud, Reaz; Joy, Nazmul Islam; Biswas, Rama; Sarkar, Sadekur Rahman; Rahman, Mahabubur; Sina, Hashmi; Arifuzzaman, Md; Alam, Iftikher; Hossain, Md. Murad; Karim, Asm Rezaul; Habib, Mansur

doi:10.3329/jdmc.v26i2.38765

Cited by 4 publications

(4 citation statements)

References 5 publications

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“…Stroke severity was stratified on the basis of NIHSS score as follows: 1-4 mild, 5-15 moderate, and more than 15 was severe stroke. [13][14][15] Laboratory assessment for analyzing the risk factor such as fasting venous blood samples, lipid profile, blood glucose levels, uric acid and blood test for cell counts were done on admission to the hospital before the treatment. CT head scan without contrast showing infarction that matched the thrombotic features (atherothrombotic, thromboembolic and lacunar)].…”

Section: Subject Selection and Study Designmentioning

confidence: 99%

“…A lower NIHSS score during the initial phase of acute ischemic stroke independently correlates with good neurological outputs. [13][14][15] Without discounting the importance of the other leucocytes (eg neutrophils, and monocytes), there should be a concerted effort to understand the importance of lymphocytes in the context of ischemic stroke. The study aims to observe the role of lymphocytes and correlate it to the other risk factors, leukocyte count and neurologic output in patients with acute ischemic stroke.…”

Section: Introductionmentioning

confidence: 99%

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The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

Juli¹,

Heryaman²,

Nazir³

et al. 2021

IJGM

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Inflammation plays an important role and is involved in all stages of acute ischemic stroke. One of these stages involves the recruitment of leukocytes from the peripheral circulation into the ischemic tissue. Lymphocytes as a subtype of leukocytes are important mediators and can become a predictor of neurological outcome. Several studies have been conducted regarding the correlation between differential lymphocyte counts and acute ischemic stroke. Most of these studies analyzed lymphocyte ratio to other leukocyte subtypes such as neutrophils and monocytes. This study specifically observed the role of lymphocytes as an indicator of the inflammatory response in patients with acute ischemic stroke. This study aimed to observe the correlation among risk factors, infarct location, leukocyte counts, lymphocyte value and neurologic output in acute ischemic stroke patients. Patients and Methods: We observed and analyzed 193 patients' data from medical record which met the inclusion and exclusion criteria with a diagnosis of acute ischemic stroke at the Department of Neurology of Dr. Hasan Sadikin General Bandung. Data were then analysed using appropriate statistical tests. Results: Most patients have more than one risk factor with a leukocyte count of less than 10,000 cell/mm 3 . Infarct was mostly located in subcortical area (basal ganglia), with moderate average NIHSS values at admission and at discharge. The number of lymphocytes decreased in the subject group with more than 10,000 cell/mm 3 leukocytes. Subsequently, data were analyzed using Spearman's test and there was a correlation between NIHSS on admission and lymphocyte depletion. Conclusion:The lymphocyte depletion in patients with leukocytosis is a predictor of poor NIHSS.

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Section: Subject Selection and Study Designmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

Juli¹,

Heryaman²,

Nazir³

et al. 2021

IJGM

View full text Add to dashboard Cite

show abstract

“…More than 80% of patients with NIHSS scores lower than or equal to 5 points, who experienced mild neurological deficits, can directly return home after being discharged from the hospital. Most patients with an NIHSS score of 6-13 points need to be hospitalized for rehabilitation, while those with NIHSS scores greater than 14 points usually need long-term care [28]. The Cronbach's α value of the NIHSS in this study was 0.83.…”

Section: Measurementmentioning

confidence: 55%

Continuity of Care and Self-Management among Patients with Stroke: A Cross-Sectional Study

2021

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(1) Background: Stroke is an important topic in the healthcare industry. The objective of the present study was to investigate patients’ sociodemographic characteristics, health status, continuity of care, self-management, and other predictors that affect their self-management. (2) Methods: This cross-sectional correlational study was carried out from March to September 2020, and included a total of 150 patients aged 20 and above who were diagnosed within the past 6 months. The research participants were selected from the Division of Neurology, Department of Internal Medicine/Department of Surgery, at a medical center in Central Taiwan. (3) Results: The mean self-management score of patients with stroke was 110.50 points (30–150 points). As shown in the stepwise regression analysis, the overall regression model explained approximately 44.5% of the variance in self-management. Educational level (10.8%), frequency of exercise per week (2.1%), time that patients were affected by stroke (2.4%), and continuity of care (29.2%) were the main predictors affecting the self-management of stroke patients. (4) Conclusions: To improve stroke patients’ self-management, medical teams should provide appropriate continuity of care to those with lower educational levels, those without exercise habits, and those who experienced a stroke within the past six months.

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“…Semakin tinggi derajat hipertensi individu maka semakin tinggi pula derajat klasifikasi NIHSS individu tersebut, yang berarti semakin berat defisit neurologis yang dimilikinya. (18)(19)(20)(21) Berbeda dengan hasil penelitian yang menyatakan tidak terdapat hubungan yang signifikan antara tekanan darah sistolik awal, tekanan darah diastolik awal dengan NHISS akhir, dengan nilai korelasi ketiganya bersifat lemah. Hal tersebut kemungkinan dikarenakan ada faktor lain yang mempengaruhi hasil keluaran klinis, misalnya pada penelitian ini pasien sudah diberikan terapi hingga tuntas dan hasil evaluasi klinik membaik sehingga NHISS pada saat pulang tidak ada yang buruk.…”

Section: Pembahasanunclassified

Hubungan antara tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale

Razdiq¹,

Imran²

2020

J Biomedika Kesehat

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LATAR BELAKANGStroke merupakan salah satu penyakit yang menyebabkan tingkat kematian dan disabilitas yang tinggi. Sebesar 75% dari faktor risiko stroke adalah hipertensi. Semenjak tingkat mortalitas stroke mengalami penurunan, kesempatan hidup pasien pasca-stroke dengan gejala sisa yang diakibatkannya semakin meningkat. Sampai saat in masih diperoleh hasil yang kontroversi antara hubungan tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale (NIHSS), diperoleh hasil penelitian yang menyatakan tidak terdapat hubungan yang signifikan dan sebagian lain menjumpai hubungan yang signifikan. Penelitian ini dilakukan untuk menilai hubungan tekanan darah dengan hasil keparahan stroke menggunakan NIHSS. METODEPenelitian ini merupakan studi analitik observasional dengan rancangan cross sectional. Pengambilan sampel dilakukan dengan cara consecutive non random sampling pada data rekam medik pasien stroke di Rumah Sakit Pusat Otak Nasional (RSPON), Jakarta Timur dari November hingga Desember 2018. Jumlah rekam medik yang diambil adalah 235 buah. Pengambilan data menggunakan data sekunder. NIHSS merupakan skala penilaian valid yang dapat dipercaya dan efisien untuk mengukur derajat neurologis pasien selama stroke akut dan mengukur hasil keluaran klinis setelah terapi. Analisis data dilakukan secara univariat dan bivariat dengan uji korelasi Spearman. HASILTerdapat hubungan antara tekanan darah sistolik (p=0.01) dan tekanan darah diastolik (p=0.004) dengan tingkat keparahan stroke. KESIMPULANTerdapat hubungan antara tekanan darah dan keparahan stroke menggunakan NIHSS pada pasien stroke yang dirawat di RSPON.

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Assessment of Initial Stroke Severity by National Institute Health Stroke Scale (NIHSS) Score at Admission

Cited by 4 publications

References 5 publications

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

The Lymphocyte Depletion in Patients with Acute Ischemic Stroke Associated with Poor Neurologic Outcome

Continuity of Care and Self-Management among Patients with Stroke: A Cross-Sectional Study

Hubungan antara tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale

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