美国国立卫生研究院卒中量表（NIHSS）的缺陷：是时候在急诊中采用新的临床急性卒中严重程度评分系统了吗？
The Pitfalls of NIHSS: Time for a New Clinical Acute Stroke Severity Scoring System in the Emergency?
作者信息
Makharia Archita, Agarwal Ayush, Garg Divyani, Vishnu Venugopalan Y, Srivastava M V Padma
机构信息
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Ann Indian Acad Neurol. 2024 Jan-Feb;27(1):15-18. doi: 10.4103/aian.aian_842_23. Epub 2024 Jan 18.
Abstract
Stroke is the second leading cause of death and a major cause of disability worldwide. Stroke severity scales serve as reliable means to track a patient's neurological deficit, predict outcome, and guide treatment decisions in clinical practice. The National Institute of Health Stroke Scale (NIHSS) was introduced over 30 years ago, marking a significant milestone in the field of stroke. Over the years, there have been notable advancements in acute stroke care. Despite several modifications made to NIHSS, none has yet succeeded in effectively capturing all the complex effects of a stroke. This review focuses on the pitfalls of NIHSS and emphasizes the need for a quick and comprehensive clinical and upgraded version of the stroke severity rating scale.
摘要
中风是全球第二大死因和致残的主要原因。中风严重程度量表是在临床实践中追踪患者神经功能缺损、预测预后以及指导治疗决策的可靠手段。美国国立卫生研究院卒中量表（NIHSS）于30多年前推出，标志着中风领域的一个重要里程碑。多年来，急性中风护理取得了显著进展。尽管对NIHSS进行了多次修改，但尚未有任何一次修改成功有效地捕捉到中风的所有复杂影响。本综述重点关注NIHSS的缺陷，并强调需要一个快速且全面的临床及升级版中风严重程度评定量表。
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