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Bias in Stroke Evaluation: Rethinking the Cookie Theft Picture
Author(s) -
Amy Steinberg,
Patrick D. Lyden,
Arielle Davis
Publication year - 2022
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/strokeaha.121.038515
Subject(s) - medicine , equity (law) , stroke (engine) , multiculturalism , socioeconomic status , anachronism , population , environmental health , law , mechanical engineering , politics , political science , engineering
Despite a current emphasis on equity in stroke care, one of the most common stroke assessment tools that is used both nationally and internationally, includes an anachronistic image that projects cultural, linguistic, and socioeconomic bias. This image, titled The Cookie Theft picture, is included in the National Institutes of Health Stroke Scale and was originally developed in 1972. Now, 50 years later, it does not reflect our current diverse, linguistically rich, and multicultural patient population.

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