Comparing National Institutes of Health Stroke Scale Among a Stroke Team and Helicopter Emergency Medical Service Providers

Comparing National Institutes of Health Stroke Scale among a stroke team and helicopter emergency medical service providers.

BACKGROUND AND PURPOSE The use of tissue-type plasminogen activator is limited to a maximum of 4.5 hours after symptom-onset. Endovascular recanalization may improve outcomes for large-vessel occlusions (LVO), but efficacy decreases with time from symptom-onset. A National Institutes of Health Stroke Scale (NIHSS) score ≥12 is predictive of LVOs and could be used to triage patients if appropria...

National Institutes of Health Stroke Scale (NIHSS).

Picturing the Size and Site of Stroke With an Expanded National Institutes of Health Stroke Scale

BACKGROUND AND PURPOSE The National Institutes of Health Stroke Scale (NIHSS) includes minimal assessment of cognitive function, particularly in right hemisphere (RH) stroke. Descriptions of the Cookie Theft picture from the NIHSS allow analyses that (1) correlate with aphasia severity and (2) identify communication deficits in RH stroke. We hypothesized that analysis of the picture description...

Power of National Institutes of Health Stroke Scale in Assessing Stroke Systems of Care

T he timely article by Fonarow and colleagues in this issue of JAHA reports the findings from the largest study to date on the relation of the National Institutes of Health Stroke Scale (NIHSS) score with 30-day mortality rate in patients hospitalized for acute ischemic stroke.1 Prior smaller, largely single center, studies have reported similar results but this work used the largest data set t...

Remote evaluation of acute ischemic stroke: reliability of National Institutes of Health Stroke Scale via telestroke.

BACKGROUND AND PURPOSE Despite Food and Drug Administration approval of tissue-type plasminogen activator for stroke, obstacles in the US healthcare system prevent its widespread use. The Remote Evaluation for Acute Ischemic Stroke (REACH) program was developed to address these issues in rural settings. A key component of stroke assessment in the REACH system is the National Institutes of Healt...