NIHSS as predictor of clinical outcome at 6 months in patients with intracerebral hemorrhage
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The National Institutes of Health Stroke Scale (NIHSS) is the most widespread clinical scale used in patients presenting with acute ischemic stroke. However, this scale is not validated for intracerebral hemorrhage (ICH) and its role is not clear.
Recently, Finocchi et al.  showed that the admission NIHSS score correlates with mortality and functional outcome at 30-day and 3-month follow-ups, by testing 156 patients with ICH. They concluded that NIHSS assessment at admission is a reliable tool of clinical monitoring and correlates with mortality and functional outcome.
In the aim of validating Finocchi’s results in a different cohort of patients with a longer follow-up, we have investigated 196 consecutive patients with primary ICH, recruited at the stroke unit of the “Alessandro Manzoni” Hospital (Lecco) from 1 October 2012 to 31 December 2015, comparing the NIHSS at the admission with the modified Rankin Scale (mRS) after 6 months.
As in the original work, Spearman’s...
All authors approved the contents of the manuscript and validated the accuracy of the data.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
- 5.Cheung CM, Tsoi TH, Hon SFK, Au-Yeung M, Shiu KL, Lee CN, Huang CY (2008) Using the National Institutes of Health Stroke Scale (NIHSS) to predict the mortality and outcome of patients with intracerebral haemorrhage. Hong Kong Med J 14:367–370Google Scholar