The Use of NIHSS as an Assessment of Acute Stroke Severity

Yudhisman Imran; Ainaya Az Zahra

doi:10.47353/jsocmed.v3i2.128

The Use of NIHSS as an Assessment of Acute Stroke Severity

Yudhisman Imran
Department of Neurology, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia
Ainaya Az Zahra
Medical Education Study Programme, Universitas Trisakti, Jakarta, Indonesia

Abstract

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 the patient’s prognosis. The use of NIHSS in assessing the severity of acute stroke deserves further attention because it has a significant impact on the outcome of stroke patients during the treatment period.

Similar Articles

Avie Hanindya Dwiyanti Rambe, Chairil Amin Batubara, Correlation between Serum Fibrinogen Level and Acute Ischemic Stroke Severity , Journal of Society Medicine: Vol. 2 No. 8 (2023): August
Widya Prawirani Siahaan, Cut Aria Arina, Kiki Mohammad Iqbal, Correlation between National Institute Health Stroke Scale and QT Dispersion In Acute Ischemic Stroke , Journal of Society Medicine: Vol. 3 No. 1 (2024): January
Marisa Heidiyana, Khairul Putra Surbakti, Haflin Soraya Hutagalung, The Association Between Degree of Severity and Number of Medications with Quality of Life in Parkinson's Disease Patients , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
Siti Hasnita Oktavia Purba, Iskandar Nasution, R.A. Dwi Pujiastuti, The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke , Journal of Society Medicine: Vol. 3 No. 1 (2024): January
Siti Alimahtun Sodiah Chaniago, Iskandar Nasution, Irina Kemala Nasution, The Association of Nutrition Status Towards The Outcome of Acute Ischemic Stroke Patients with Type-2 Diabetes Mellitus , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
Ilham Habib Djarkoni, Muhammad Iqbal Basri, Muhammad Akbar, Firdaus Hamid, Andi Kurnia Bintang, Jumraini Tamasse, High Density Lipoprotein (HDL) Level and Blood Urea Nitrogen (BUN)/Creatinin Ratio Relationship with One-Month Outcome in Acute Ischemic Stroke Patients , Journal of Society Medicine: Vol. 2 No. 12 (2023): December
Amalia Noor Zafira Nasution, Aldy S Rambe , Haflin Soraya Hutagalung , Relation between Parkinson's Disease Severity and Cognitive Function with Monstreal Cognitive Assessment Indonesia , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
Abdurrahman Asysyarif, Elvita Rahmi Daulay, Kiking Ritarwan, Correlation of Lacunar Infarct on Head Ct Scan with Dysarthria in Haji Adam Malik General Hospital in 2019 , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
Billi, Muhammad Akbar, David Gunawan Umbas, Firdaus Hamid, Andi Kurnia Bintang, Mimi Lotisna, Estimated Glomerular Filtration Rate (eGFR) as a Predictor of 1-Month Clinical Outcome in First-Ever Acute Ischemic Stroke Patients , Journal of Society Medicine: Vol. 2 No. 12 (2023): December
Al-Ma’ Arij Akbar Lubis, Cut Aryfa Andra, Andre Pasha Ketaren, Relationship between QTc interval prolongation and mortality of acute ischaemic stroke patients during treatment and three months after treatment at Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 3 (2024): March

1 2 3 4 > >>

You may also start an advanced similarity search for this article.

PDF

Published at

29. February 2024
https://doi.org/10.47353/jsocmed.v3i2.128
Issue:

Vol. 3 No. 2 (2024): February
Section:

Articles
Keywords:

Stroke Degree of severity NIHSS
References:

Alegiani AC, Rahn AC, Steckelberg A, Thomalla G, Heesen C, Köpke S. Quality of Stroke Patient Information Applied in Randomized Controlled Trials: Literature Review. Frontiers in Neurology. 2020; 11: 1.

Venketasubramanian N, Yudiarto FL, Tugasworo D. Stroke Burden and Stroke Services in Indonesia. Cerebrovasc Dis Extra. 2022;12(1).

Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J. Harrison Principles of Internal Medicine. 20th edition. Vol. 1, McGraw-Hill Education. 2018.

Unnithan AKA, Mehta P. Hemorrhagic Stroke - StatPearls - NCBI Bookshelf. In: Hemorrhagic Stroke. 2020.

Saraswati, D R, Khariri. Transisi Epidemiologi Stroke Sebagai Penyebab Kematian Pada Semua Kelompok Usia Di Indonesia. J Kedokt. 2021; 2 (1): 1

Kusuma Y, Venketasubramanian N, Kiemas LS, Misbach J. Burden of stroke in Indonesia. Int J Stroke. 2009; 4 (5): 1

Murphy SJ, Werring DJ. Stroke: causes and clinical features. Vol. 48, Medicine (United Kingdom). 2020.

Patrama AP, Tresno T, Purwanza SW. Development The National Institutes of Health Stroke Scale (NIHSS) for Predicting Disability and Functional Outcome to Support Discharge Planning After Ischemic Stroke. J Ners. 2020;14(3): 1

Kwah LK, Diong J. National Institutes of Health Stroke Scale (NIHSS). J Physiother. 2014; 60 (1): 61.

Kuriakose D, Xiao Z. Pathophysiology and treatment of stroke: Present status and future perspectives. Vol. 21, International Journal of Molecular Sciences. 2020.

Lyden P. Using the National Institutes of Health Stroke Scale. Stroke. 2017; 48 (1): 1

Damhudi D, Irawaty D, Hariyati RTS. Efektifitas Metode NIHSS dan ESS Dalam Membuat Diagnosa Keperawatan Aktual Pada Pasien Stroke Berat Fase Akut. J Keperawatan Indones. 2012; 15 (1): 7–12.

Gofir A, Mulyono B, Sutarni SHyperglycemia as a prognosis predictor of length of stay and functional outcomes in patients with acute ischemic stroke, International Journal of Neuroscience. 2017: 127 (10): 1-17.

Razdiq ZM, Imran Y. Hubungan antara tekanan darah dengan keparahan stroke menggunakan National Institute Health Stroke Scale. J Biomedika dan Kesehat. 2020; 3 (1): 15-20.

Ayudia P, Imran Y. Kadar kolesterol LDL sebagai prediktor lama perawatan pada pasien stroke iskemik akut. Jurnal penelitian dan karya ilmiah Lembaga Penelitian Universitas Trisakti. 2023; 8 (2): 310-320.

Rahmansyah M, Hairunisa N, Imran Y. et al Ketebalan Tunika Intima Media Karotis dan Fungsi Kognitif pada Wanita Menopause. Majalah Kedokteran Neuro Sains Perhimpunan Dokter Spesialis Saraf Indonesia. 2022; 39 (2): 91-94.

Siniscalchi A. Use of stroke scales in clinical practice: Current concepts. Turkish J Emerg Med. 2022; 22 (3): 119–24.

Steffen R, Hill DR, DuPont HL. Traveler’s diarrhea a clinical review. JAMA - Journal of the American Medical Association. 2015; 313 (1): 1

Saudin D, Rajin M, Kesehatan FI, Pesantren U, Darul T, Jombang U. et al. Metode pengkajian neurologis menggunakan national institutes of health stroke scale pada pasien stroke di rsud dr iskak tulungagung. J EDUNursing. 2017;1(1):1–6.

Warner JJ, Harrington RA, Sacco RL, Elkind MSV. Guidelines for the early management of patients with acute ischemic stroke 2019 update to the 2018 guidelines for the early management of acute ischemic stroke. Stroke. 2019; 50 (1): 1

Hoffman H. What is the NIH Stroke Scale (NIHSS)? Saebo. 2017.

Kogan E, Twyman K, Heap J, Milentijevic D, Lin JH, Alberts M. Assessing stroke severity using electronic health record data: A machine learning approach. BMC Med Inform Decis Mak. 2020;20(1).

Farooque U, Lohano AK, Kumar A, Karimi S, Yasmin F, Bollampally VC, et al. Validity of National Institutes of Health Stroke Scale for Severity of Stroke to Predict Mortality Among Patients Presenting With Symptoms of Stroke. Cureus. 2020; 1.

Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D, et al. 2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Vol. 52, Stroke. 2021.

Toyoda K, Koga M, Iguchi Y, Itabashi R, Inoue M, Okada Y, et al. Guidelines for intravenous thrombolysis (Recombinant tissue-type plasminogen activator), the third edition, march 2019: A guideline from the Japan stroke society. Neurol Med Chir (Tokyo). 2019;59 (12): 1

Whiteley WN, Emberson J, Lees KR, Blackwell L, Albers G, Bluhmki E, et al. Risk of intracerebral haemorrhage with alteplase after acute ischaemic stroke: a secondary analysis of an individual patient data meta-analysis. Lancet Neurol. 2016;15 (9): 1

Pratama LB, Amalia L, Juli C, Gamayani U, Hermawan AN. Clinical Outcome Of Stroke Patients Based On The National Institutes Of Health Stroke Scale (NIHSS) In A Tertiary Hospital. MNJ (Malang Neurol Journal). 2022; 9 (1): 17–23.

Cheung CM, Tsoi TH, Hon SFK, Au-Yeung M, Shiu KL, Lee CN, et al. Using the National Institutes of Health Stroke Scale (NIHSS) to predict the mortality and outcome of patients with intracerebral haemorrhage. Hong Kong Med J. 2008; 14 (5): 1

Claus JJ, Berghout BBP, Ikram MK, Wolters FJ. Validity of stroke severity assessment using medical records in a population-based cohort. J Stroke Cerebrovasc Dis. 2023; 32 (4): 1
Share:

Z

Imran, Y., & Zahra, A. A. (2024). The Use of NIHSS as an Assessment of Acute Stroke Severity. Journal of Society Medicine, 3(2), 31–34. https://doi.org/10.47353/jsocmed.v3i2.128