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21 - Clinical Scales to Assess Patients With Stroke
Book chapter

21 - Clinical Scales to Assess Patients With Stroke

Harold P Adams Jr
Stroke, pp.262-280.e6
Elsevier Inc, Seventh Edition
2022
DOI: 10.1016/B978-0-323-69424-7.00021-1

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Abstract

Several scales are used to assess patients with ischemic or hemorrhagic stroke. These scales ease communication among healthcare professionals, facilitate stroke care, and are crucial for stroke research. The scales are used in a variety of settings and include systems to screen for the presence of a stroke in an emergency setting, to describe the severity of neurologic impairments, to differentiate hemorrhagic and ischemic stroke, to determine the most likely subtype of ischemic stroke, to monitor neurologic improvement or worsening, to assess responses to therapy, and to describe outcomes including disability, handicap, and quality of life. Both clinicians and investigators should become familiar and use those scales that have the best face validity. The most widely used scales are the Glasgow Coma Scale, National Institutes of Health stroke scale, modified Rankin Scale, and the Barthel Index.
outcome after stroke stroke scale type of stroke cause of stroke severity of stroke

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