Nihss and scandinavian stroke scale sss core mafiadoc. Sexspecific differences in management of the condition may have influenced the disparate outcomes, the study authors said. Nov 11, 2016 the scandinavian stroke scale sss is an alternative scale that is easy to apply in the clinic. Multicenter trial of hemodilution in ischemic strokebackground and study protocol. To compare the ability of the sss with that of the nihss in identifying patients who are dead or dependent at 3month followup.
National institutes of health stroke scale wikipedia. Pdf validation of the scandinavian stroke scale in a. World federation of neurological surgeons grading system for subarachnoid hemorrhage scale. Scores should reflect what the patient does, not what the clinician thinks the patient can do. Prehospital acute stroke severity scale to predict large. Common scales include the national institutes of health stroke scale nihss1 and scandinavian stroke scale sss2.
Traditional definitions used for obstructive sleep apnoea osa are arbitrary and may not apply in the acute stroke setting, so a further aim of the study was to redefine respiratory events and to assess. Pdf the scandinavian stroke scale is equally as good as the. Both scales are validated and share common measures. Alberta stroke program early ct score aspects radiology. Motricity index 1, budlkham jamiyandorj 1, 1, 1, 1, 1. Pdf interconversion of the national institutes of health. The national institutes of health stroke scale nihss is the first choice among stroke scales. Glasgow coma scale gcs and scandinavian stroke scale sss are used. In a pooled analysis of nearly 20,000 patients with acute stroke, women with ischemic stroke had higher rates of survival than men but greater disability after stroke. There was no indication that careful bloodpressure lowering treatment with the angiotensinreceptor blocker candesartan is beneficial in patients with acute stroke and raised blood pressure. Dec 29, 2012 the objective of this study was to evaluate the consistency, coherence, and interobserver reliability of the portuguese version of the scandinavian stroke scale sss in a multicultural population of stroke. Validating and comparing stroke prognosis scales neurology. Sss scandinavian stroke scale medicine acronymfinder. The aim of this study was to determine whether upper airway obstruction occurring within the first 24 hours of stroke onset has an effect on outcome following stroke at 6 months.
The nihss is composed of 11 items, each of which scores a specific ability between a 0 and 4. The scandinavian stroke scale sss is an alternative scale that is easy to apply in the clinic. Twentytwo patients with acute stroke participated in this trial table 1. The alberta stroke programme early ct score aspects 1 is a 10point quantitative topographic ct scan score used in patients with middle cerebral artery mca stroke. Sss, and oxfordshire community stroke project classification was then performed. This article requires a subscription to view the full text. The scandinavian stroke scale sss is an alternative stroke scale, that is to apply in clinic, frequently used in scandinavian countries and has recently also been validated in the portuguese language. Jan 21, 2020 inadequate screening procedures risk missed diagnoses, inappropriate patient management and resultant unnecessary healthcare burden. The sss was translated, culturally adapted, and applied by two independent investigators. In 2005,1 the sss was used to predict outcomes in patients with mild ischemic stroke, which had not previously been. Follow up was at 30 days and at hospital discharge. Overall, 679 subjects were included in the analysis. The national institutes of health stroke scale, or nih stroke scale nihss is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke.
The scandinavian stroke scale sss is an alternative stroke scale, which is frequently used in scandinavian countries and has recently also been validated in the portuguese language 6. The national institutes of health stroke scale nihss and scandinavian stroke scale sss are both validated measures of neurologic impairment and have been used in many acute stroke trials. Record performance in each category after each subscale exam. Alberta stroke program early ct score aspects dr yuranga weerakkody and dr haris sair et al. Bidirectional translation of national institute of health. Predictors of 6month functional outcome in first ever stroke. Resultsseven months after admission there was a trend in favor of the stroke unit in all outcome measures, but no significant differences in clinical outcomes were found except for change in the scandinavian stroke scale score. The scandinavian stroke scale is equally as good as the. Aspects correlates with scandinavian stroke scale for. Among the items on the scandinavian stroke scale, speech presented sensitivity and specificity, respectively, of 72% and 78%. The subjects were further scrutinized using scandinavian stroke scales sss 10 for. Scandinavian stroke scale how is scandinavian stroke scale. Effects of intensive gaitoriented physiotherapy during early.
Oxfordshire community stroke project classification bamford scandinavian stroke scale. A comparison of five stroke scales with measures of disability scale, the mathew scale, and the scandinavian stroke scale. The scandinavian stroke scale the scandinavian stroke scale sss has been tested in clinical trials to rate outcome severity as well as to select patients. The angiotensinreceptor blocker candesartan for treatment. A prospective study including patients with acute stroke. Motricity index 1, budlkham jamiyandorj 1, 1, 1, 1, 1 2, 2, 2, 2, 2, 2, 2. Common scales include the national institutes of health stroke scale nihss 1 and scandinavian stroke scale sss. The angiotensinreceptor blocker candesartan for treatment of. The investigator must choos response, even if a full evaluation is prevented by such obstacles as an endotracheal tube, e a language barrier, orotracheal traumabandages. A neurologist used the scandinavian stroke scale sss 22 and the bi 21 to assess the functional status of the 22 patients with acute stroke. This was a randomized transverse study involving two groups. The objective of this study was to evaluate the consistency, coherence, and interobserver reliability of the portuguese version of the scandinavian stroke scale sss in a multicultural population of stroke. The scandinavian stroke scale sss is an alternative scale that is easy to apply in the.
On admission, they were diagnosed with either a first supratentorial stroke or no significant disturbance from an earlier stroke modified ranking scale 02 19 and were selected for this study if they had 1 functional ambulation category fac of 03. Stroke severity is measured routinely, using an impairment scale, in acute stroke trials. The purpose and use of stroke scales stroke scales the. Interconversion of the national institutes of health stroke. Validation of the scandinavian stroke scale in a multicultural population in brazil. The patients were then assessed clinically by the study investigator using the scandinavian stroke scale sss score. Methods for interconverting sss and nihss are needed. Nih stroke scale neurological assessment scores between 42 0 day 0, 7, 30, and 90 scandinavian stroke scale neurological assessment scores between 0 48 day 0, 7, 30, and 90 barthel index functional assessment scores between 0. In 2005,1 the sss was used to predict outcomes in patients with mild ischemic stroke, which had not previously been done. Interrater reliability of the items varies from excellent for. Effect of upper airway obstruction in acute stroke on. The canadian neurological stroke scale cnss should be administered to all acute stroke patients on admission, as per mds orders and with any change in conditiondeterioration the glasgow coma scale should not be used in place of the cnss and should only be used as an assessment of level of consciousness with stuporous.
If anything, the evidence suggested a harmful effect. Nih stroke scale neurological assessment scores between 42 0 day 0, 7, 30, and 90 scandinavian stroke scale neurological assessment scores between 0 48 day 0, 7, 30, and 90 barthel index functional assessment scores between 0 100 increments of 5 day 7, 30, 60, and 90. On admission they are examined by an internist experienced in the care of patients with stroke and on the following day by a neurologist. Prognosis after stroke palliative care network of wisconsin. Apopleksi vejledning til scandinavian stroke scale og. Inadequate screening procedures risk missed diagnoses, inappropriate patient management and resultant unnecessary healthcare burden. The scandinavian stroke scale predicts outcome in patients with mild ischemic stroke, cerebrovasc dis, 20 both interrater and intrarater reliability estimates are important. Both scales are validated and share common measures of impairment, but differ in their direction of measurement.
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