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NIHSS as predictor of clinical outcome at 6 months in patients with intracerebral hemorrhage

  • Vittorio ManteroEmail author
  • Chiara Scaccabarozzi
  • Angelo Aliprandi
  • Davide Sangalli
  • Nicola Rifino
  • Marco Filizzolo
  • Cristina Russo
  • Nadia Bolognini
  • Andrea Salmaggi
Letter to the Editor
  • 15 Downloads

Dear Sir,

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. [1] 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...

Notes

Author contributions

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.

Ethical approval

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.

References

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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  • Vittorio Mantero
    • 1
    Email author
  • Chiara Scaccabarozzi
    • 1
  • Angelo Aliprandi
    • 1
  • Davide Sangalli
    • 1
  • Nicola Rifino
    • 1
  • Marco Filizzolo
    • 2
  • Cristina Russo
    • 3
  • Nadia Bolognini
    • 3
    • 4
  • Andrea Salmaggi
    • 1
  1. 1.Neurology - Stroke Unit“A. Manzoni” Hospital, ASST LeccoLeccoItaly
  2. 2.Neuroradiological Unit“A. Manzoni” Hospital, ASST LeccoLeccoItaly
  3. 3.Department of Psychology and NeuroMi - Milan Center for NeuroscienceUniversity of Milano-BicoccaMilanItaly
  4. 4.Neuropsychological LaboratoryIRCCS Istituto Auxologico ItalianoMilanItaly

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