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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Measured Neurological Improvements Correlate with Self-perceived Improvements After Stroke
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Measured Neurological Improvements Correlate with Self-perceived Improvements After Stroke

机译：测量的神经系统改善与中风后的自我感知改善相关

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Background: Important advantages of neurologic impairment scales after stroke include measurements of within-subject changes over time starting at baseline. We compared percent improvement on the National Institutes of Health stroke scale (NIHSS) to stroke outcome that seems tangible to patients and caregivers: their perceived percent improvement. Methods: We prospectively measured improvement on the NIHSS between baseline and 3 to 6 months in consecutive patients with acute stroke presenting within 48 hours after onset. Unaware of the measured result, patients and caregivers were asked to estimate their perceived overall improvement since baseline assessment at the time of enrollment. We excluded patients with baseline NIHSS <3, clear improvement before screening, coma, brain herniation, or intraventricular hemorrhage. Results: Of 40 enrolled patients, 9 died, 5 could not return for reevaluation, and the remaining 26 were reevaluated and analyzed. Median time from stroke onset to enrollment was 19.5 hours (range 2-45) and the median baseline NIHSS score was 8 (range 3-31). The measured improvements on the NIHSS ranged between 12.5% and 100% and correlated moderately (Spearman rank coefficient 0.54) and significantly (P = .005) with the patient- and caregiver-perceived percent improvement. Conclusions: Percent improvement on the NIHSS after stroke correlates moderately and significantly with patient and caregiver perceived overall improvement and appears to be a useful addition to the current functional outcome measures.
机译：背景：中风后神经系统损伤鳞片的重要优势包括在基线开始随时间的受试者内部变化的测量。我们对国家卫生冲程量表（NIHSS）的改进百分比进行了比较，脑卒中似乎与患者和护理人员似乎有切：它们的改善百分比。方法：在发病后48小时内，我们在基线与3至6个月之间展示了基线与3至6个月之间的改善。不知道测量结果，患者和护理人员被要求估计自入学时基线评估以来他们的综合改进。我们排除了基线NIHSS的患者<3，在筛选前明确改善，昏迷，脑疝或脑室出血。结果：40名注册患者，9名死亡，5个不能返回重新评估，其余26分是重新评估和分析。从中风发作到入学的中位数是19.5小时（范围2-45），中位数基线NIHSS得分为8（范围3-31）。 NIHS的测量改善范围在12.5％和100％之间，并具有中度（Spearman等级系数0.54），并且具有显着的（P = .005），具有患者和护理人员感知的改进百分比。结论：随着患者和护理人员感知总体改善，中风后，脑卒中后对NIHSS的改善百分比百分比具有显着相关性，似乎是目前功能结果措施的有用补充。

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