The types of neurological deficits might not justify withholding treatment in patients with low total National Institutes of Health Stroke Scale scores

Enrique C Leira; Bryan R Ludwig; M Edip Gurol; James C Torner; Harold P Adams Jr

doi:10.1161/strokeaha.111.620674

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The types of neurological deficits might not justify withholding treatment in patients with low total National Institutes of Health Stroke Scale scores

Journal article

Open access

Peer reviewed

The types of neurological deficits might not justify withholding treatment in patients with low total National Institutes of Health Stroke Scale scores

Enrique C Leira, Bryan R Ludwig, M Edip Gurol, James C Torner and Harold P Adams Jr

Stroke (1970), Vol.43(3), pp.782-786

03/2012

DOI: 10.1161/strokeaha.111.620674

PMID: 22308246

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Abstract

There is controversy regarding the threshold for treating patients with mild strokes. Physicians often withhold acute treatment in these patients if they perceive the symptoms are not going to be disabling. We tested the appropriateness of this practice by analyzing the relationship between specific neurological deficits in the National Institutes of Health Stroke Scale (NIHSS) score and long-term outcome among patients with a low total NIHSS score.

United States

Severity of Illness Index

Prognosis

Humans

Middle Aged

Stroke - diagnosis

Stroke - complications

Logistic Models

Male

Treatment Outcome

Withholding Treatment

Nervous System Diseases - therapy

National Institutes of Health (U.S.)

Aphasia - etiology

Nervous System Diseases - etiology

Female

Aged

Retrospective Studies

Stroke - therapy

Vision Disorders - etiology

Details

Title: Subtitle: The types of neurological deficits might not justify withholding treatment in patients with low total National Institutes of Health Stroke Scale scores
Creators: Enrique C Leira - Division of Cerebrovascular Diseases, Department of Neurology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA. enrique-leira@uiowa.edu
Bryan R Ludwig
M Edip Gurol
James C Torner
Harold P Adams Jr
Resource Type: Journal article
Publication Details: Stroke (1970), Vol.43(3), pp.782-786
DOI: 10.1161/strokeaha.111.620674
PMID: 22308246
NLM abbreviation: Stroke
ISSN: 1524-4628
eISSN: 1524-4628
Publisher: United States
Grant note: NS-27960 / NINDS NIH HHS NS-27863 / NINDS NIH HHS
Language: English
Date published: 03/2012
Academic Unit: Neurology; Epidemiology; Iowa Neuroscience Institute; Surgery; Injury Prevention Research Center; Neurosurgery
Record Identifier: 9983995172102771

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