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Journal articles on the topic 'National Institutes of Health Stroke Scale (NIHSS)'

Author: Grafiati

Published: 5 June 2025

Last updated: 16 July 2025

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1

Eskioglou, Elissavet, Mitra Huchmandzadeh Millotte, Michael Amiguet, and Patrik Michel. "National Institutes of Health Stroke Scale Zero Strokes." Stroke 49, no. 12 (2018): 3057–59. http://dx.doi.org/10.1161/strokeaha.118.022517.

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Background and Purpose— We aimed to characterize acute ischemic stroke patients who have an immeasurable deficit on the admission National Institutes of Health Stroke Scale (NIHSS), and to evaluate their long-term outcome. Methods— We retrospectively compared all acute ischemic stroke patients with an admission NIHSS of 0 in the Acute Stroke Registry and Analysis of Lausanne from 2003 to 2013 with all other acute ischemic stroke patients. We compared demographics, clinical, radiological, and laboratory findings. Outcome was considered favorable at 3 months if the modified Rankin Scale score co

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Chalos, Vicky, Nadinda A. M. van der Ende, Hester F. Lingsma, et al. "National Institutes of Health Stroke Scale." Stroke 51, no. 1 (2020): 282–90. http://dx.doi.org/10.1161/strokeaha.119.026791.

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Background and Purpose— The modified Rankin Scale (mRS) at 3 months is the most commonly used primary outcome measure in stroke treatment trials, but it lacks specificity and requires long-term follow-up interviews, which consume time and resources. An alternative may be the National Institutes of Health Stroke Scale (NIHSS), early after stroke. Our aim was to evaluate whether the NIHSS assessed within 1 week after treatment could serve as a primary outcome measure for trials of acute treatment for ischemic stroke. Methods— We used data from 2 randomized controlled trials of endovascular treat

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3

Kwah, Li Khim, and Joanna Diong. "National Institutes of Health Stroke Scale (NIHSS)." Journal of Physiotherapy 60, no. 1 (2014): 61. http://dx.doi.org/10.1016/j.jphys.2013.12.012.

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McLoughlin, Alison, Philippa Olive, and Catherine Elizabeth Lightbody. "Reliability of the National Institutes of Health Stroke Scale." British Journal of Neuroscience Nursing 18, Sup5 (2022): S3—S10. http://dx.doi.org/10.12968/bjnn.2022.18.sup5.s3.

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Background: The National Institutes of Health Stroke Scale (NIHSS) is widely used to measure stroke deficits and is deemed to be reliable when used by a range of professionals. Aims: This study aimed to establish the inter-rater reliability of the NIHSS when completed via telemedicine. Secondary aims were to explore if professional group, length of time since training and/or re-certification, frequency of use and reason for using the NIHSS influenced the inter-rater reliability. Methods: A total of 30 video clips, the equivalent of two whole patient assessments for each of the 15 NIHSS items,

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Alemseged, Fana, Alessandro Rocco, Francesco Arba, et al. "Posterior National Institutes of Health Stroke Scale Improves Prognostic Accuracy in Posterior Circulation Stroke." Stroke 53, no. 4 (2022): 1247–55. http://dx.doi.org/10.1161/strokeaha.120.034019.

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Background and Purpose: The National Institutes of Health Stroke Scale (NIHSS) underestimates clinical severity in posterior circulation stroke and patients presenting with low NIHSS may be considered ineligible for reperfusion therapies. This study aimed to develop a modified version of the NIHSS, the Posterior NIHSS (POST-NIHSS), to improve NIHSS prognostic accuracy for posterior circulation stroke patients with mild-moderate symptoms. Methods: Clinical data of consecutive posterior circulation stroke patients with mild-moderate symptoms (NIHSS <10), who were conservatively managed, were

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Meyer, B. C., and P. D. Lyden. "The Modified National Institutes of Health Stroke Scale: its Time has Come." International Journal of Stroke 4, no. 4 (2009): 267–73. http://dx.doi.org/10.1111/j.1747-4949.2009.00294.x.

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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 Dysart

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Samsuhadi, Samsuhadi, Theresia Titin Marlina, and Tandean Arif Wibowo. "Hubungan Tingkat Pengetahuan Perawat Dengan Kepatuhan Penilaian National Institutes Of Health Stroke Scale Pada Pasien Stroke." Jurnal Kesehatan Panca Bhakti Lampung 13, no. 1 (2025): 61. https://doi.org/10.47218/jkpbl.v13i1.382.

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National Institutes of Health Stroke Scale (NIHSS) merupakan alat ukur tingkat keparahan stroke yang valid dan responsif. Perawat diharapkan mempunyai kemampuan dalam melakukan pengkajian kepada pasien stroke menggunakan NIHSS. Tujuan penelitian untuk menganalisis hubungan tingkat pengetahuan perawat dengan kepatuhan penilaian NIHSS pada pasien stroke di IGD. Penelitian ini merupakan penelitian kuantitatif dengan desain correlation untuk mencari korelasi hubungan tingkat pengetahuan perawat dengan kepatuhan perawat dalam penilaian skoring NIHSS dalam penanganan pasien stroke di IGD Rumah Sakit

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Jurjāns, Kristaps, Iļja Noviks, Diāna Volčeka, et al. "The adaption and evaluation of a Latvian version of the National Institutes of Health Stroke Scale." Journal of International Medical Research 45, no. 6 (2016): 1861–69. http://dx.doi.org/10.1177/0300060516664636.

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Objectives To determine the validity and reliability of a Latvian version of the National Institutes of Health Stroke Scale (LV-NIHSS) for evaluating Latvian stroke patients. Methods The adaption of the LV-NIHSS followed standard methods used for the adaption and validation of clinical assessment tools. The scale validity was tested by comparison with the Glasgow Coma Scale (GCS) and the modified Rankin scale (mRs). The reliability of the LV-NIHSS was evaluated by intra-rater and inter-rater agreement using intra-class correlation coefficient (ICC) analysis. Results A total of 296 stroke patie

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Dehghani, Reza, Afshin Borhanihaghighi, Abdolhamid Shariat, et al. "Validity and Reliability of the Persian Versions of National Institute of Health Stroke Scale and Modified National Institute of Health Stroke Scale in Hospitalized Patients." Galen Medical Journal 8 (January 25, 2019): 1188. http://dx.doi.org/10.31661/gmj.v8i0.1188.

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Background: National Institute of Health Stroke Scale (NIHSS) and Modified National Institute of Health Stroke Scale (mNIHSS) are two valid and reliable questionnaires that assess stroke severity. This study aimed to examine and compare the validity and reliability of Persian versions of NIHSS and mNIHSS in hospitalized patients. Materials and Methods: The English versions of NIHSS and mNIHSS were translated to Persian (forward and backward), and three neurologists examined the face and content validity of both questionnaires. The Persian versions of NIHSS and mNIHSS were used in75 hospitalize

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Ghose, Swapon Kumar, Kazi Gias Uddin Ahmed, Ahmed Hossian Chowdhury, et al. "Assessment of Initial Stroke Severity by National Institute Health Stroke Scale (NIHSS) Score at Admission." Journal of Dhaka Medical College 26, no. 2 (2018): 90–93. http://dx.doi.org/10.3329/jdmc.v26i2.38765.

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Background: The National Institutes of Health Stroke Scale or NIH Stroke Scale (NIHSS) is a widely used tool for assessing stroke severity. We conducted this study to determine the severity of stroke patients admitted in a tertiary care hospital.Methods: This is a cross sectional study conducted in Department of Neurology, Dhaka Medical College Hospital from April 2016 to October 2016 involving 91 acute stroke patients.Result: About half (44%) of the patients were older than 60 years of age and mean age of the patients was 60.34(±16.1) years at onset and there is a slight female predominance (

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Fitriana, Erlis Eka, and Haryanto Haryanto. "The Effectiveness of The National Institutes of Health Stroke Scale (NIHSS) in Determining Nursing Diagnoses in Stroke Patients: A Scoping Review." Journal of Nursing Science Update (JNSU) 12, no. 1 (2024): 26–34. http://dx.doi.org/10.21776/ub.jik.2024.012.01.04.

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The symptoms of a stroke can vary depending on which part of the brain is affected, potentially leading to severe consequences or difficulties. This scoping review aims to assess the effectiveness of the NIHSS in establishing nursing diagnoses in stroke patients. The review involved searches on Google Scholar, ResearchGate, and PubMed from 2012 to January 2023. The identification and selection of literature followed Moher's guidelines in the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) 2009, resulting in ten articles for discussion. The study utilized the Nationa

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Wiśniewski, Adam, Karolina Filipska, Marlena Puchowska, Katarzyna Piec, Filip Jaskólski, and Robert Ślusarz. "Validation of a Polish version of the National Institutes of Health Stroke Scale: Do moderate psychometric properties affect its clinical utility?" PLOS ONE 16, no. 4 (2021): e0249211. http://dx.doi.org/10.1371/journal.pone.0249211.

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Background The National Institutes of Health Stroke Scale (NIHSS) is a validated tool for assessing the severity of stroke. It has been adapted into several languages; however, a Polish version with large-scale psychometric validation, including repeatability and separate assessments of anterior and posterior stroke, has not been developed. We aimed to adapt and validate a Polish version of the NIHSS (PL-NIHSS) while focusing on the psychometric properties and site of stroke. Methods The study included 225 patients with ischemic stroke (102 anterior and 123 posterior circulation stroke). Four

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ÖZDEMİR, Serdar, Tuba CİMİLLİ ÖZTÜRK, and Özge ECMEL ONUR. "Relationship between the national institutes health stroke scale score and bispectral index in patients with acute ischemic stroke." Journal of Experimental and Clinical Medicine 38, no. 4 (2021): 440–44. http://dx.doi.org/10.52142/omujecm.38.4.7.

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This study aimed to investigate the relationship between the bispectral index and the National Institutes of Health Stroke Scale (NIHSS) score in patients admitted to the emergency department with a first-time acute ischemic stroke. Methods: This prospective, observational study was conducted with patients admitted to our clinic with acute ischemic stroke symptoms. Patients with known cranial pathologies, such as space- occupying lesions, those with a history of clinically significant cerebrovascular events or sedative drug administration, and those with altered consciousness due to metabolic

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Gkantzios, Aimilios, Christos Kokkotis, Dimitrios Tsiptsios, et al. "From Admission to Discharge: Predicting National Institutes of Health Stroke Scale Progression in Stroke Patients Using Biomarkers and Explainable Machine Learning." Journal of Personalized Medicine 13, no. 9 (2023): 1375. http://dx.doi.org/10.3390/jpm13091375.

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As a result of social progress and improved living conditions, which have contributed to a prolonged life expectancy, the prevalence of strokes has increased and has become a significant phenomenon. Despite the available stroke treatment options, patients frequently suffer from significant disability after a stroke. Initial stroke severity is a significant predictor of functional dependence and mortality following an acute stroke. The current study aims to collect and analyze data from the hyperacute and acute phases of stroke, as well as from the medical history of the patients, in order to d

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Patrama, Agit Putra, Tejo Tresno, and Sena Wahyu Purwanza. "Development The National Institutes of Health Stroke Scale (NIHSS) for Predicting Disability and Functional Outcome to Support Discharge Planning After Ischemic Stroke." Jurnal Ners 14, no. 3 (2020): 413. http://dx.doi.org/10.20473/jn.v14i3.17220.

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Introduction: A discharged stroke patients with disability from hospital need special identify in order to obtain a meaningful quality of life, to improve the functional status of patient’s life quality can be started immediately at admission patient in health sevices. The initial discharge planning was carried out to explore patient’s needs during inpatient and discharge with the National Institutes of Health Stroke Scale (NIHSS). NIHSS as a predictor model to discharge stroke patient with disability , need to identify effectivity of it to improve the functional status of patient’s life quali

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Fauziah, Annisa, Hertanto Wahyu Subagio, Annta Kern Nugrohowati, Darmono SS, and Enny Probosari. "Difference Between BMI At Admission and Discharge and NIHSS at Admission and Discharge In Iscemic Stroke Patients at Dr.Kariadi Horpital." Medica Hospitalia : Journal of Clinical Medicine 10, no. 1 (2023): 52–56. http://dx.doi.org/10.36408/mhjcm.v10i1.777.

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BACKGROUND : Hospitalized patients are at risk for malnutrition. Decreased BMI (Body Mass Index) in stroke patients is negatively correlated with patient outcomes. Studies on differences in BMI and NIHSS (National Institutes of Health Stroke Scale) at admission and discharge in stroke patients have not been conducted in Indonesia. OBJECTIVE: To describe the difference between BMI and NIHSS at admission and discharge in ischemic stroke patients at Dr. Kariadi hospital METHOD : An observational study on 49 hospitalized ischemic stroke patients at the Stroke Unit of dr. Kariadi hospital. Outcomes

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Pratama, Liunardo Bintang, Lisda Amalia, Cep Juli, Uni Gamayani, and Asep Nugraha Hermawan. "CLINICAL OUTCOME OF STROKE PATIENTS BASED ON THE NATIONAL INSTITUTES OF HEALTH STROKE SCALE (NIHSS) IN A TERTIARY HOSPITAL." MNJ (Malang Neurology Journal) 9, no. 1 (2022): 17–23. http://dx.doi.org/10.21776/ub.mnj.2023.009.01.4.

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Background: Stroke is the second leading cause of death and the third cause of disability globally. Clinical outcomes caused by stroke are varied and influenced by various factors. Objective: This study aims to describe the clinical outcome of stroke patients based on neurological deficit using NIHSS at Dr. Hasan Sadikin General Hospital, Bandung. Methods: This study is a retrospective descriptive, cross-sectional study using secondary data from medical records recruited between January 2019 – December 2019 at the Department of Neurology Dr. Hasan Sadikin General Hospital Bandung with the tota

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Hagberg, Guri, Haakon Ihle-Hansen, Tamar Abzhandadze, Malin Reinholdsson, Hege Ihle Hansen, and Katharina S. Sunnerhagen. "Prognostic value of acute National Institutes of Health Stroke Scale Items on disability: a registry study of first-ever stroke in the western part of Sweden." BMJ Open 13, no. 12 (2023): e080007. http://dx.doi.org/10.1136/bmjopen-2023-080007.

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ObjectivesWe aimed to study how the individual items of the National Institutes of Health Stroke Scale (NIHSS) at admission predict functional independence 3 months post-stroke in patients with first-ever stroke.SettingThis registry-based study used data from two Swedish stroke registers (Riksstroke, the mandatory national quality register for stroke care in Sweden, and Väststroke, a local quality stroke register in Gothenburg).ParticipantsThis study included patients with first-ever acute stroke admitted from November 2014 to August 2018, with available NIHSS at admission and modified Rankin

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Ambresh, Ayyali, and Madhu K R. "Association between HBA1C and NIHSS score in stroke." IP Indian Journal of Neurosciences 7, no. 3 (2021): 192–97. http://dx.doi.org/10.18231/j.ijn.2021.034.

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Diabetes Mellitus is a very common metabolic disorder and it is an independent risk factor for stroke and is associated with 2 to 6 fold increased risk compared with non-diabetic subjects and worsens survival of patients with acute stroke. Glucose intolerance or even fasting hyperglycemia may follow an acute vascular event, and ensuing physical inactivity and poor food intake may lead to continued glucose intolerance. Glucose intolerance in a stroke patient may or may not reflect glycemia prior to the event. Measurement of HbA1C rather than glucose as an indicator of prior glycemia offers a ne

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Pranata, Lilik, Maria Tarisia Rini, Ketut Suryani, Bangun Dwi Hardika, MK Fitriani Fruitasari, and Vincencius Surani. "Pengetahuan Perawat Tentang Pengkajian National Institute of Health Stroke Scale (NIHSS) Pada Pasien Stroke." Lentera Perawat 4, no. 1 (2023): 86–91. http://dx.doi.org/10.52235/lp.v4i1.211.

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elaksanaan manajemen keperawatan dalam aplikasi di lapangan berada sejajar dengan proses keperawatan sehingga manajemen keperawatan ditujukan untuk mempermudah proses pelaksanaan asuhan keperawatan Salah satu pengkajian yang harus dilakukan pada pasien stroke adalah pengkajian NIHSS (National Institute of Health Stroke Scale) sebagai alat penilaian sistematis yang mengukur skala neurologis stroke dengan skala pemeriksaan stroke neurologis. Tujuan penelitian untuk melihat pengetahuan perawat dalam melakukanpengkajian NIHSS. Metode penelitian yang digunakan adalah survey deskriptif dengan menggu

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Grewal, Parneet, Michael R. Dobbs, Keith Pennypacker, et al. "Evaluation of Patients with High National Institutes of Health Stroke Scale as Thrombectomy Candidates Using the Kentucky Appalachian Stroke Registry." Cerebrovascular Diseases 48, no. 3-6 (2019): 251–56. http://dx.doi.org/10.1159/000504834.

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Introduction: Mechanical thrombectomy has become standard of care for emergent large vessel occlusive stroke. Estimates of incidence for thrombectomy eligibility vary significantly. National Institutes of Health Stroke Scale (NIHSS) of 10 or greater is highly predictive of large vessel occlusion. Using our Kentucky Appalachian Stroke Registry (KApSR), we evaluated temporal trends in stroke admissions with NIHSS ≥10 to determine patient characteristics among that group along with effects and needs in thrombectomy utilization. Methods: Using the KApSR database that captures patients throughout t

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Han, Yanfei, Man Xu, Yuan Zhao, and Yongbo Zhang. "Long-term outcome and prognostic factors of posterior circulation ischemia patients: Results from a single center retrospective study." Vascular 28, no. 1 (2019): 25–30. http://dx.doi.org/10.1177/1708538119866604.

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Objective This study was to assess the clinical features and prognostic factors of posterior circulation cerebral infarction (PCCI) patients. Methods A total of 165 PCCI patients who were admitted to the Department of Neurology, Beijing Friendship hospital, Capital Medical University between January 2016 and December 2016 were included. Patients had complete medical record and received 12-month follow-up. The demographics, risk factors, clinical manifestations, National Institutes of Health Stroke Scale (NIHSS) score and imaging findings were collected and factors affecting their prognosis wer

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Hojs Fabjan, Tanja. "Predicting short-term (30-day) mortality in patients with ischemic stroke using the baseline score of the National Institutes of Health Stroke Scale." Acta Medico-Biotechnica 5, no. 1 (2021): 46–53. http://dx.doi.org/10.18690/actabiomed.66.

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Purpose: The National Institutes of Health Stroke Scale (NIHSS) was developed to measure neurologic outcome and recovery in patients with stroke. The aim of our study was to establish the validity of the NIHSS on short-term (30-day) mortality in patients with ischemic stroke. Methods: All 402 patients (216 males) with acute ischemic stroke hospitalized over 1 year were included in the study. Information on the presence of diabetes mellitus and smoking habits was obtained by a questionnaire. Systolic and diastolic blood pressure was measured upon hospital admission. The body mass index wa

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Qu, Jian-Feng, Yang-Kun Chen, Huo-Hua Zhong, Wei Li, and Zhi-Hao Lu. "Preexisting Cerebral Abnormalities and Functional Outcomes After Acute Ischemic Stroke." Journal of Geriatric Psychiatry and Neurology 32, no. 6 (2019): 327–35. http://dx.doi.org/10.1177/0891988719862631.

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Purpose: The aim of this study was to investigate the association between preexisting cerebral abnormalities in patients with acute ischemic stroke upon their functional outcomes. Methods: We recruited 272 patients with first-ever acute ischemic stroke. Cerebral abnormalities on magnetic resonance imaging included infarction, silent brain infarcts (SBI), enlarged perivascular spaces, white matter lesions (WMLs), global brain atrophy, and medial temporal lobe atrophy (MTLA). Functional outcomes were assessed using the instrumental activities of daily living (IADL) scale and basic activities of

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Ospel, Johanna Maria, Scott Brown, Manon Kappelhof, et al. "Comparing the Prognostic Impact of Age and Baseline National Institutes of Health Stroke Scale in Acute Stroke due to Large Vessel Occlusion." Stroke 52, no. 9 (2021): 2839–45. http://dx.doi.org/10.1161/strokeaha.120.032364.

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Background and Purpose: Little is known about the combined effect of age and National Institutes of Health Stroke Scale (NIHSS) in endovascular treatment (EVT) for acute ischemic stroke due to large vessel occlusion, and it is not clear how the effects of baseline age and NIHSS on outcome compare to each other. The previously described Stroke Prognostication Using Age and NIHSS (SPAN) index adds up NIHSS and age to a 1:1 combined prognostic index. We added a weighting factor to the NIHSS/age SPAN index to compare the relative prognostic impact of NIHSS and age and assessed EVT effect based on

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Gottesman, Rebecca F., Jonathan T. Kleinman, Cameron Davis, Jennifer Heidler-Gary, Melissa Newhart, and Argye E. Hillis. "The NIHSS-Plus: Improving Cognitive Assessment with the NIHSS." Behavioural Neurology 22, no. 1-2 (2010): 11–15. http://dx.doi.org/10.1155/2010/123903.

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Background:The National Institutes of Health Stroke Scale (NIHSS) has been criticized for limited representation of cognitive dysfunction and bias towards dominant hemisphere functions. Patients may therefore receive a low NIHSS score despite a fairly large stroke. A broader scale including simple cognitive tests would improve the clinical and research utility of the NIHSS.Methods:We studied 200 patients with acute non-dominant hemispheric stroke who underwent cognitive testing and had MRI with diffusion-weighted imaging (DWI) within 5 days of presentation. We measured DWI volumes and retrospe

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Razdiq, Zayyan Misykati, and Yudhisman Imran. "Hubungan antara tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale." Jurnal Biomedika dan Kesehatan 3, no. 1 (2020): 15–20. http://dx.doi.org/10.18051/jbiomedkes.2020.v3.15-20.

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LATAR BELAKANGStroke merupakan salah satu penyakit yang menyebabkan tingkat kematian dan disabilitas yang tinggi. Sebesar 75% dari faktor risiko stroke adalah hipertensi. Semenjak tingkat mortalitas stroke mengalami penurunan, kesempatan hidup pasien pasca-stroke dengan gejala sisa yang diakibatkannya semakin meningkat. Sampai saat in masih diperoleh hasil yang kontroversi antara hubungan tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale (NIHSS), diperoleh hasil penelitian yang menyatakan tidak terdapat hubungan yang signifikan dan sebagian lain menjumpai

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Kakumani, Jagadeswar, N. Krishna Geetha, B. Arun Kumar, and S. Magesh Kumar. "Prognostic significance of microalbuminuria in non-diabetic patients with acute ischemic stroke." Romanian Journal of Neurology 23, no. 3 (2024): 256–60. http://dx.doi.org/10.37897/rjn.2024.3.4.

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Microalbuminuria (MA) is nowadays recognized as an independent risk factor for ischemic stroke. In our study we investigate MA in acute ischemic stroke without diabetes and it’s correlation with severity of stroke. This is a prospective observational study done on 50 patients with non diabetic ischemic stroke. All the patients were subjected to a detailed history, clinical examination, biochemical and radiological investigations and assessment of the National Institutes of Health Stroke Scale (NIHSS) for grading the severity of ischemic stroke with the measurement of microalbuminuria. Cases wi

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Zulfikri, Muhammad, Cut A. Arina, and Chairil A. Batubara. "Correlation between atherogenic index of plasma and national institutes of health stroke scale score in acute ischemic stroke patients at Haji Adam Malik general hospital, Medan." International Journal of Research in Medical Sciences 9, no. 10 (2021): 3057. http://dx.doi.org/10.18203/2320-6012.ijrms20213932.

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Background: Stroke is the leading cause of morbidity and mortality in Indonesia. Dyslipidemia is one of the main risk factors of ischemic stroke. Atherogenic index of plasma (AIP) is the logarithm of the triglyceride’s plasma ratio concentration to high density lipoprotein cholesterol (HDL-C) plasma concentration. Previous studies showed that the high AIP at hospital admission was associated with deterioration of neurological deficits in patients with acute ischemic stroke.Methods: This is a cross sectional study with 82 sample of acute ischemic stroke subjects that consecutively collected fro

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Imran, Yudhisman, and Ainaya Az Zahra. "The Use of NIHSS as an Assessment of Acute Stroke Severity." Journal of Society Medicine 3, no. 2 (2024): 31–34. https://doi.org/10.47353/jsocmed.v3i2.128.

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Stroke is a neurological emergency that is characterized by sudden neurological deficits caused by vascular injury (infarction, hemorrhage) in the brain. In Indonesia, stroke is the main cause of disability and mortality. The mortality rate of stroke patients is closely related to the severity of the stroke experienced by the patient. Therefore, a scoring system is needed to assess the severity of acute stroke. The National Institutes of Health Stroke Scale (NIHSS) is used as the gold standard for assessing stroke severity. NIHSS also helps the treatment plan of stroke patients and determine t

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Fan, Liqiong, Sharon D. Yeatts, Lydia D. Foster, et al. "Endovascular Therapy Demonstrates Benefit over Intravenous Recombinant Tissue Plasminogen Activator Based on Repeatedly Measured National Institutes of Health Stroke Scale." Interventional Neurology 6, no. 1-2 (2016): 25–30. http://dx.doi.org/10.1159/000452137.

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Background and Purpose: The Interventional Management of Stroke (IMS) III trial was a randomized controlled trial designed to compare the effect of endovascular therapy after intravenous recombinant tissue plasminogen activator (i.v. rt-PA) as compared to i.v. rt-PA alone. The primary outcome was modified Rankin Scale at 90 days. Secondary outcomes included National Institutes of Health Stroke Scale (NIHSS), which was assessed repeatedly through 90 days. The objective of this analysis is to evaluate the treatment effect of endovascular therapy over time on NIHSS. Methods: 656 subjects were enr

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Siniscalchi, Antonio, Piergiorgio Lochner, Paolo Perrotta, Stefano Rizzuto, Giovambattista De Sarro, and Luca Gallelli. "Isolated Hand Palsy in National Institutes of Health Stroke Scale (NIHSS): Is It Useful?" Western Journal of Emergency Medicine 19, no. 3 (2018): 524–26. http://dx.doi.org/10.5811/westjem.2018.2.37654.

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Jeyaseelan, Rebecca D., Mary M. Vargo, and John Chae. "National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia." PM&R 7, no. 6 (2014): 593–98. http://dx.doi.org/10.1016/j.pmrj.2014.12.007.

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Modolo, Gabriel Pinheiro, Juli Thomaz De Souza, Fernanda Cristina Winckler, et al. "Embolic stroke of undetermined source (ESUS) cohort of Brazilian patients in a university hospital." Arquivos de Neuro-Psiquiatria 77, no. 5 (2019): 315–20. http://dx.doi.org/10.1590/0004-282x20190045.

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ABSTRACT Embolic stroke of undetermined source (ESUS) is an important group of cryptogenic strokes that are in evidence due recent ongoing trials. We reviewed medical records at discharge from the stroke unit of all patients who met ESUS criteria and attended our institution between February 2016 and July 2017. Among 550 stroke patients, 51 had ESUS. We found that hypertension (60%), diabetes mellitus (34%), and smoking (36%) were the most prevalent risk factors. The mean National Institutes of Health Stroke Scale (NIHSS) scores were 7 at admission and 4 at discharge, while median scores on th

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Koka, Avinash, Laurent Suppan, Philippe Cottet, Emmanuel Carrera, Loric Stuby, and Mélanie Suppan. "Teaching the National Institutes of Health Stroke Scale to Paramedics (E-Learning vs Video): Randomized Controlled Trial." Journal of Medical Internet Research 22, no. 6 (2020): e18358. http://dx.doi.org/10.2196/18358.

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Background Prompt and accurate identification of stroke victims is essential to reduce time from symptom onset to adequate treatment and to improve neurological outcomes. Most neurologists evaluate the extent of neurological deficit according to the National Institutes of Health Stroke Scale (NIHSS), but the use of this scale by paramedics, the first healthcare providers to usually take care of stroke victims, has proven unreliable. This might be, at least in part, due to the teaching method. The video used to teach NIHSS lacks interactivity, while more engaging electronic learning (e-learning

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Siahaan, Widya Prawirani, Cut Aria Arina, and Kiki Mohammad Iqbal. "Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke." Journal of Society Medicine 3, no. 1 (2024): 24–30. https://doi.org/10.47353/jsocmed.v3i1.120.

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Introduction: Stroke is a global health problemwhose incidence is increasing every year throughout the world. Stroke can cause disorders of the autonomic system in sufferers including cardiovascular disorders. Several studies examining cardiovascular disorders after acute stroke using electrocardiography (ECG), one of which is the QT Dispersion. The aim of this study was to examine the relationship between the National Institute of Health Stroke Scale and the QT Dispersion. Method: This research is analytic correlation with cross-sectional design. The study sample consisted of 50 acute ischemi

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Gajurel, BP, K. Dhungana, P. Parajuli, et al. "The National Institute of Health Stroke Scale Score and Outcome in acute Ischemic Stroke." Journal of Institute of Medicine Nepal 36, no. 3 (2014): 9–13. http://dx.doi.org/10.59779/jiomnepal.554.

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Introduction: Stroke is a focal neurological deficit of sudden onset which lasts for more than 24 hours and has a vascular cause. Various prognostic indices derived from clinical features or patient characteristics and ancillary tests have been used to predict the prognosis of patients with acute ischemic stroke. The aim of this study was to find out the significance of the National Institute of Health Stroke Scale (NIHSS) score on admission in predicting the prognosis of patients with acute ischemic stroke. Method: This is a prospective observational study done in a tertiary care hospital wit

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Sukiandra, Riki, and Fajri Marindra. "Gambaran Perbaikan Defisit Neurologis Pasien Stroke Infark Di Bangsal Saraf RSUD Arifin Achmad." Jurnal Ilmu Kedokteran 8, no. 1 (2017): 34. http://dx.doi.org/10.26891/jik.v8i1.2014.34-37.

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Stroke merupakan suatu masalah kesehatan yang utama dalam kehidupan modern saat ini. Salah satu jenis strokeyang memberikan disabilitas adalah stroke infark. Perbaikan defisit neurologis pada pasien stroke umumnya terjadiselama hari-hari atau minggu-minggu pertama setelah terjadinya serangan. Perbaikan yang terjadi tergantung dariluas lesi dan kualitas perawatan pasien stroke pada fase akut. Penelitian ini merupakan penelitian retrospektif padapasien stroke infark yang dirawat di Bangsal Saraf RSUD Arifin Ahmad. Dilakukan penilaian defisit neurologismenggunakan National Institutes of Health St

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Taha, Mohamed, Mamoon Habib, Victor Lomachinsky, et al. "Evaluating the concordance between International Classification of Diseases, Tenth Revision Code and stroke severity as measured by the National Institutes of Health Stroke Scale." BMJ Neurology Open 6, no. 2 (2024): e000831. http://dx.doi.org/10.1136/bmjno-2024-000831.

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BackgroundThe National Institutes of Health Stroke Scale (NIHSS) scores have been used to evaluate acute ischaemic stroke (AIS) severity in clinical settings. Through the International Classification of Diseases, Tenth Revision Code (ICD-10), documentation of NIHSS scores has been made possible for administrative purposes and has since been increasingly adopted in insurance claims. Per Centres for Medicare & Medicaid Services guidelines, the stroke ICD-10 diagnosis code must be documented by the treating physician. Accuracy of the administratively collected NIHSS compared with expert clini

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Pego-Pérez, Emilio Rubén, Isaac Fernández-Rodríguez, and José Manuel Pumar-Cebreiro. "National Institutes of Health Stroke Scale, modified Rankin Scale, and modified Thrombolysis in Cerebral Infarction as autonomy predictive tools for stroke patients." Reviews in the Neurosciences 30, no. 7 (2019): 701–8. http://dx.doi.org/10.1515/revneuro-2019-0011.

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Abstract Whereas mortality from ischemic stroke is decreasing in all age groups, the prevalence of stroke continues to increase. Its increasing incidence in the younger population adds to the large number of survivors who will live many years with their disabilities related to stroke. Thus, the objectives of this study are to determine the National Institutes of Health Stroke Scale (NIHSS), the modified Rankin Scale (mRS), and the modified Thrombolysis in Cerebral Infarction (mTICI) as adequate prognostic functionality tools for stroke patients and to analyze the relation between stroke and re

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Shubhangi, Verma, Kokate Vikram, Bansod Ganesh, Bhise Kasturi, and Wankade Kaustubh. "Serum Bilirubin as a Severity and Prognostic Indicator in Acute Ischemic Stroke: An Observational Study." International Journal of Pharmaceutical and Clinical Research 16, no. 10 (2024): 941–45. https://doi.org/10.5281/zenodo.14052831.

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<strong>Background:</strong> Bilirubin is  most potent endogenous antioxidant which increases in many oxidative stress conditions such as stroke. It is known to exert neuroprotective effect on stroke through mechanisms involved in development hence influencing the occurrence and prognosis of ischaemic stroke. <strong>Aims & Objectives: </strong>To assess the predictability of serum bilirubin in severity and prognosis of acute ischemic stroke. <strong>Materials & Methods:</strong> Adult patients >18 years of age diagnosed with AIS who presented to the ho

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Shadani, A. K., Anand Yadao, Akash Nema, and Vigneswar T. "Study of Thyroid Disorders in Patients of Stroke." International Journal of Science and Healthcare Research 9, no. 4 (2024): 383–96. https://doi.org/10.52403/ijshr.20240444.

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To study the prevalence of thyroid disorders among patients of ischemic stroke and to correlate it with the severity of stroke on basis of NIHSS score and functional outcome after 3 months on basis of modified Rankin Scale (mRS).1 Method: This hospital based descriptive, randomized, single blinded, analytical study was done in the department of Medicine, SRIMSR hospital, Raipur from September 2023 to Dec2024. A total of 82 patients above 18 years of age who had ischemic stroke were included. Every patient was subjected to detailed clinical history and neurological examination. Two neurological

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Darehed, David, Malin Reinholdsson, Adam Viktorisson, Tamar Abzhandadze, and Katharina S. Sunnerhagen. "Death and ADL Dependency After Scoring Zero on the NIHSS." Neurology: Clinical Practice 13, no. 5 (2023): e200186. http://dx.doi.org/10.1212/cpj.0000000000200186.

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Background and ObjectivesOf all strokes, mild strokes (defined as 5 points or less on the National Institutes of Health Stroke Scale [NIHSS]) are in the majority. However, up to one-third of patients with mild strokes still exhibit significant deficits 3 months after the stroke. Studies on the presumably mildest strokes, defined by zero points on the NIHSS (0-NIHSS) at admission, are scarce. Hence, we aimed to study patient characteristics and outcomes among patients with 0-NIHSS strokes.MethodsOur retrospective registry-based study included a total of 6,491 adult patients with stroke admitted

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Aldriweesh, Mohammed A., Waleed A. Alluhidan, Bayan A. Al Bdah, et al. "Prevalence and Clinical Characteristics of Lacunar Stroke: A Hospital-Based Study." Brain Sciences 11, no. 11 (2021): 1466. http://dx.doi.org/10.3390/brainsci11111466.

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Lacunar stroke (LS) is responsible for one-quarter of the overall number of ischemic strokes with long-term complications and carries health and economic issues for patients and health care systems. Therefore, we aimed to investigate lacunar versus non-lacunar strokes in a tertiary academic center. From February 2016 to July 2019, all patients admitted to the stroke unit were retrospectively reviewed. We included LS patients and compared them to other TOAST subtypes. Hemorrhagic stroke and conditions mimicking stroke were excluded. Regression analysis was done to determine LS predictors and ou

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Budinčević, Hrvoje, Andrija Meštrović, and Vida Demarin. "Stroke Scales as Assessment Tools in Emergency Settings: A Narrative Review." Medicina 58, no. 11 (2022): 1541. http://dx.doi.org/10.3390/medicina58111541.

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In the last 20 years, substantial improvements have been made in stroke recanalization treatment. Good outcomes after modern reperfusion treatment require the rapid and accurate identification of stroke patients. Several stroke rating scales are available or have been proposed for the early recognition of stroke and the evaluation of stroke severity and outcome. This review aims to provide an overview of commonly used stroke scales in emergency and clinical settings. The most commonly used scale in a prehospital setting for stroke recognition is the Face, Arms, Speech, Time (FAST) test. Among

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Batubara, Chairil Amin, Listra Isabela Barus, and Aida Fithrie. "Effect of Oral Nutritional Supplementation on National Institute of Health Stroke Scale in Acute Ischemic Stroke." Open Access Macedonian Journal of Medical Sciences 10, B (2022): 428–31. http://dx.doi.org/10.3889/oamjms.2022.7974.

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BACKGROUND: Approximately, 6-31% of nutritional deficits are present before the stroke and worsen during hospitalization. Besides affecting the patient’s physical and mental abilities, stroke can also cause a decrease in nutritional status, which has a major influence on the rate of death and disability. One intervention to overcome stroke patients’ nutritional problems is giving oral nutritional supplementation. The role of oral nutritional supplementation in stroke severity in patients with acute ischemic stroke has not yet been extensively studied. AIM: This study aimed to evaluate the effe

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Tarvonen-Schröder, Sinikka, Tuuli Niemi, and Mari Koivisto. "Inpatient Rehabilitation After Acute Severe Stroke: Predictive Value of the National Institutes of Health Stroke Scale Among Other Potential Predictors for Discharge Destination." Advances in Rehabilitation Science and Practice 12 (January 2023): 275363512311579. http://dx.doi.org/10.1177/27536351231157966.

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Background: Research focusing on predictors for discharge destination after rehabilitation of inpatients recovering from severe stroke is scarce. The predictive value of rehabilitation admission NIHSS score among other potential predictors available on admission to rehabilitation has not been studied. Aim: The aim of this retrospective interventional study was to determine the predictive accuracy of 24 hours and rehabilitation admission NIHSS scores among other potential socio-demographic, clinical and functional predictors for discharge destination routinely collected on admission to rehabili

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Kuster, Gustavo W., Lívia A. Dutra, Israel P. Brasil, et al. "Performance of four ischemic stroke prognostic scores in a Brazilian population." Arquivos de Neuro-Psiquiatria 74, no. 2 (2016): 133–37. http://dx.doi.org/10.1590/0004-282x20160002.

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ABSTRACT Objective Ischemic stroke (IS) prognostic scales may help clinicians in their clinical decisions. This study aimed to assess the performance of four IS prognostic scales in a Brazilian population. Method We evaluated data of IS patients admitted at Hospital Paulistano, a Joint Commission International certified primary stroke center. In-hospital mortality and modified Rankin score at discharge were defined as the outcome measures. The performance of National Institutes of Health Stroke Scale (NIHSS), Stroke Prognostication Using Age and NIHSS (SPAN-100), Acute Stroke Registry and Anal

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Hand, Brittany, Stephen J. Page, and Susan White. "Stroke Survivors Scoring Zero on the NIH Stroke Scale Score Still Exhibit Significant Motor Impairment and Functional Limitation." Stroke Research and Treatment 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/462681.

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Objective.To determine the National Institutes of Health Stroke Scale’s (NIHSS’s) association with upper extremity (UE) impairment and functional outcomes.Design.Secondary, retrospective analysis of randomized controlled trial data.Setting.Not applicable.Participants.146 subjects with stable, chronic stroke-induced hemiparesis.Intervention.The NIHSS, the UE Fugl-Meyer (FM), and the Arm Motor Ability Test (AMAT) were administered prior to their participation in a multicenter randomized controlled trial.Main Outcome Measures.The NIHSS, FM, and AMAT.Results.The association between the NIHSS and U

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V., Meghashri, Raveesha A., Vishwanath R., and Prabhakar K. "Relation between monocyte/high density lipoprotein ratio in acute ischemic stroke severity." International Journal of Research in Medical Sciences 8, no. 11 (2020): 3983. http://dx.doi.org/10.18203/2320-6012.ijrms20204890.

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Introduction: Stroke is a common neurological condition, with a high incidence of mortality and morbidity, especially in the elderly population. Inflammation and lipid abnormalities have been proposed for the pathophysiology development and progression of atherosclerosis. Monocyte count to High density lipoprotein (HDL) ratio (MHR) is proposed as a novel predictor of prognosis in cardiovascular diseases. In this study, we aim to investigate the relationship of MHR with stroke severity in acute ischemic stroke patients.Methods: A total of 64 patients with acute ischemic stroke were inpatients o

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