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Retrospective Assessment of Initial Stroke Severity
Author(s) -
Cheryl Bushnell,
Dean C.C. Johnston,
Larry B. Goldstein
Publication year - 2001
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.32.3.656
Subject(s) - medicine , intraclass correlation , inter rater reliability , stroke (engine) , retrospective cohort study , medical record , limiting , physical therapy , pediatrics , rating scale , psychometrics , mechanical engineering , engineering , psychology , clinical psychology , developmental psychology
The NIH Stroke Scale (NIHSS) and the Canadian Neurological Scale (CNS) have been reported to be useful for the retrospective assessment of initial stroke severity. However, unlike the CNS, the NIHSS requires detailed neurological assessments that may not be reflected in all patient records, potentially limiting its applicability. We assessed the reliability of the retrospective algorithms and the proportions of missing items for the NIHSS and CNS in stroke patients admitted to an academic medical center (AMC) and 2 community hospitals.

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