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

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
Aziz Achmad, Zainal Safri, Teuku Bob Haykal, Abdullah Afif Siregar, Nizam Zikri Akbar, Tengku Winda Ardini, Cut Aryfa Andra, Anggia Chairuddin Lubis, Relationship Between Neutrophil-Lymphocyte Ratio Value And Severity of Mitral Stenosis Due to Rheumatic Heart Disease in Outpatients at H. Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 3 No. 12 (2024): December
Antonius Leonardo Purba, Nizam Zikri Akbar, Yuke Sarastri, The Relationship between Myocardial Strain Using 2D Speckle Tracking Echocardiography and Coronary Lesion Severity Measured by Syntax Score in Patients with Chronic Coronary Syndrome at Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 4 (2024): April
T. Rifki Mirza Alfuadi, Zulfikri Mukhtar, Andika Sitepu, The Relationship between Red Blood Cell Distribution Width and Coronary Artery Lesion Severity In Acute Myocardial Infarction Patients with Non-Elevation of ST-Segment (IMA-NEST) at Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 7 (2024): July
Akbar Sinaga, Refli Hasan, Abdul Halim Reynaldo, Harris Hasan, Nizam Zikri Akbar, Cut Aryfa Andra, Association of Triglyceride/High Density Lipoprotein Cholesterol Ratio and Coronary Lesion Severity in Acute Myocardial Infarction Patients at Adam Malik Hospital, Medan , Journal of Society Medicine: Vol. 2 No. 3 (2023): March
Muhammad Bayhaqi Dalimunthe, Andika Pradana, Amira Permatasari Tarigan, Rina Amelia, The Relationship between Malnutrition and Quality of Life in Stable Chronic Obstructive Pulmonary Disease Patients at Prof. Dr. Chairuddin P. Lubis Hospital Field , Journal of Society Medicine: Vol. 3 No. 9 (2024): September
Nahrisyah Nahrisyah, Kristo A. Nababan, Reduction of 75% in the Psoriasis Area and Severity Index (PASI) for Moderate-to-Severe Psoriasis Vulgaris , Journal of Society Medicine: Vol. 4 No. 2 (2025): February
Sharanjit Dhillon, Aida Fithrie, Chairil Amin Batubara, The Association between Waist Hip Ratio and Severity of Diabetic Peripheral Neuropaty in Diabetes Melitus Type 2 by Using Toronto Clinical Scoring System , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
Enggar Sari Kesumawardani, Zainal Safri, Harris Hasan, Refli Hasan, Cut Aryfa Andra, Tengku Winda Ardini, The Relationship Between Serum Apolipoprotein B Levels and Severity of Coronary Lesions Using The Syntax Score in Non-St Segment Elevation Acute Myocardial Infarction Patients at Haji Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
M. Isfan Rialdy, Nizam Zikri Akbar, T. Bob Haykal, Andre Pasha Ketaren, Cut Aryfa Andra, Yuke Sarastri, The Relationship between D-Dimer Levels and Coronary Lesion Severity in Patients with Acute Myocardial Infarction with ST-Segment Elevation at Haji Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 9 (2023): September

<< < 1 2 3 4 5 > >>

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