Categorization of Ischemic Stroke Patients Compared with National Institutes of Health Stroke Scale

Mario Marendic, Ana Repic Bulicic, Tonka Borovina, Nikolina Ivica Mise, Rinaldo Romac, Enra Suljic, Marina Titlic, and Marina Milosevic

Abstract
Introduction: Scientific guidelines recommend the National Institutes of Health Stroke Scale (NIHSS) for ischemic stroke (IS) assessment. In Clinical Department of Neurology of Split University Hospital Center nurses use the categorization of patients (COP) according to individual needs for health care. Aim: The aim of this study was to demonstrate that there is a positive correlation between the COP and the NIHSS in IS patients. Methods: We analyzed NIHSS scores and COP findings in 325 participants (median age 77 years, min-max: 37-95 years) with acute ISs. Results: There is a statistically significant correlation between the NIHSS score at admission and COP at admission ( and #961;=0.717; P<0.001). There is a statistically significant correlation between the NIHSS score at discharge and COP at discharge ( and #961;=0.762; P<0.001). Median of NIHSS scores at admission is higher in females than in males for 2 (Z=4.45, P<0.001) and at discharge is higher for 2 (Z = 4.1, P<0.001). Median of COP at admission is higher in females than in males for 1 (Z=4.7, P<0.001) and at discharge is the same (Z=4.7, P<0.001). Conclusion: There is a significant association of NIHSS scores and COP in IS patients. This association exists at admission and at discharge from the hospital. [Med Arh 2016; 70(2.000): 119-122] Keywords: ischemic stroke, nursing care, categorization of patient, The National Institutes of Health Stroke Scale

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