The modified National Institutes of Health Stroke Scale: its time has come.
The modified National Institutes of Health Stroke Scale: its time has come.
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DOI：
10.1111/j.1747-4949.2009.00294.x
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发表时间：
2009-08
期刊：
影响因子：
--
通讯作者：
Lyden PD
中科院分区：
文献类型：
--
作者：
Meyer BC;Lyden PD
美国国立卫生研究院卒中量表（NIHSS）是一个众所周知的，可靠和有效的卒中缺陷量表。NIHSS简单、快速，在不同的群体、环境和语言中显示出显著的可靠性。NIHSS还包含可靠性和冗余性较差的项目。最近的调查（包括评估新的培训DVD，分析基于网络或录像带的认证，并测试外语版本）进一步详细的可靠性问题。反复显示可靠性较差的项目包括意识水平、面瘫、肢体共济失调和构音障碍。改良的NIHSS（mNIHSS）最大限度地减少了冗余，并消除了可靠性差的项目。mNIHSS在多个环境和队列中显示出更高的可靠性，包括通过远程医疗使用时以及在临床试验中使用时从记录中提取的评分。在mNIHSS与NIHSS的对比验证中，具有极好一致性的元素数量从54%增加到71%，而较差一致性从12%下降到5%。总体而言，45%的NIHSS项目的可靠性低于优秀，而mNIHSS仅为29%。mNIHSS不是理想的卒中量表，但与NIHSS相比有显著改善。mNIHSS在床旁、记录提取、远程医疗和临床试验中显示出可靠性。由于mNIHSS更可靠，因此可以改善从业者沟通、改善医疗护理和完善试验入组。mNIHSS现在应该作为临床和研究目的的主要卒中临床缺陷量表。当谈到mNIHSS时，它的时间已经到来！
The National Institutes of Health Stroke Scale (NIHSS) is a well known, reliable and valid stroke deficit scale. The NIHSS is simple, quick, and has shown significant reliability in diverse groups, settings, and languages. The NIHSS also contains items with poor reliability and redundancy. Recent investigations (include assessing a new training DVD, analyzing web-based or videotape certifications, and testing foreign language versions) have further detailed reliability issues. Items recurrently shown to have poor reliability include Level of Consciousness, Facial Palsy, Limb Ataxia, and Dysarthria. The modified NIHSS (mNIHSS) minimizes redundancy and eliminates poorly reliable items. The mNIHSS shows greater reliability in multiple settings and cohorts, including scores abstracted from records, when used via telemedicine, and when used in clinical trials. In a validation of the mNIHSS against the NIHSS, the number of elements with excellent agreement increased from 54% to 71%, while poor agreement decreased from 12% to 5%. Overall, 45% of NIHSS items had less than excellent reliability vs. only 29% for the mNIHSS. The mNIHSS is not the ideal stroke scale, but it is a significant improvement over the NIHSS. The mNIHSS has shown reliability at bedside, with record abstraction, with telemedicine, and in clinical trials. Since the mNIHSS is more reliable, it may allow for improved practitioner communication, improved medical care, and refinement of trial enrollments. The mNIHSS should now serve as the primary stroke clinical deficit scale for clinical and research aims. When it comes to the mNIHSS, its time has come!
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影响因子：
9.9
作者：
Barber, PA;Zhang, J;Buchan, AM
通讯作者：
Buchan, AM
影响因子：
8.3
作者：
Goldstein, LB;Samsa, GP
通讯作者：
Samsa, GP
影响因子：
8.3
作者：
Bushnell, CD;Johnston, DCC;Goldstein, LB
通讯作者：
Goldstein, LB
影响因子：
9.9
作者：
Adams, HP;Davis, PH;Hansen, MD
通讯作者：
Hansen, MD
影响因子：
--
作者：
GOLDSTEIN, LB;BERTELS, C;DAVIS, JN
通讯作者：
DAVIS, JN