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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >A Practical Stroke Severity Scale Predicts Hospital Outcomes
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A Practical Stroke Severity Scale Predicts Hospital Outcomes

机译：实际的卒中严重程度预测医院结果

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Goal: To develop a practical severity scale (Wake Forest Stroke Severity Scale [WFSSS]) to predict acute hospital outcomes and resource use after acute ischemic stroke based on the admission neurologic exam. Background: A useful scheme enabling physicians and other health care providers to stratify stroke severity on admission to predict acute hospital outcomes and improve efficiency of inpatient care has not been described. Methods: The study subjects consisted of 271 consecutive acute stroke patients admitted to the neurology department from July 1995 to June 1996 who were prospectively examined and whose stroke severity was classified on the basis of admission neurologic exam (level of consciousness, strength, dysphasia, neglect, and gait) as mild, moderate, or severe, based on the WFSSS. National Institutes of Health stroke scale (NIHSS) was performed early in admission (70% within 24 hours). Discharge disposition (home, inpatient rehabilitation [rehab], skilled nursing facility [SNF], or death); length of stay (LOS); and hospital charges were associated with initial stroke severity ratings using chi-square and Kruskal-Wallis tests. Results: Fifty-percent (136) of strokes were classified as mild, 22% (60) as moderate, and 28% (75) as severe. Initial severity ratings were significantly related to discharge disposition, LOS, and hospital charges (all P values <.001). Conclusions: A practical clinical severity scale (WFSSS) for acute ischemic stroke patients based on admission neurologic examination predicts hospital disposition, LOS, and hospital charges, and may allow more accurate severity-adjusted comparisons among institutions.
机译：目标：制定实用严重性规模（Wake Forest Stroke严重程度缩放[WFSSS]），以预测急性缺血性卒中后的急性医院结果和资源使用。背景：一种有用的方案，使医生和其他医疗保健提供者能够在入学中定分卒中严重程度，以预测急性医院结果，并且尚未描述住院护理效率。方法：该研究受试者由1995年7月至1996年6月入院的连续急性中风患者组成，该急性卒中患者于1996年7月至1996年6月审查，谁在入院神经检查（意识，实力，疑难度水平，忽视的基础上，他们的中风严重程度被分类和步态）基于WFSSS的温和，中度或严重。国家卫生卒中量表（NIHSS）在入场时早期进行（24小时内70％）。排放性格（家庭，住院康复[康复]，熟练的护理设施[SNF]或死亡）;逗留时间（LOS）;使用Chi-Square和Kruskal-Wallis测试，医院费用与初始中风严重程度评级有关。结果：50％（136）中风分类为温和，22％（60），为中等，28％（75）严重。初始严重程度评级与排放处置，LOS和医院费用有关（所有P值<.001）。结论：基于入院神经系统检查的急性缺血性卒中患者的实用临床严重程度（WFSSS）预测医院处置，洛杉矶和医院费用，并可能允许在机构之间进行更准确的严重程度调整的比较。

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