Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment
Objective To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke. Method 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were ev...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2015-05-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500014&lng=en&tlng=en |
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| _version_ | 1849307504464363520 |
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| author | Gustavo José Luvizutto Maicon Gonçalves Gabriel Gabriel Pereira Braga Thiago Dias Fernandes Luiz Antônio de Lima Resende Octávio Marques Pontes Neto Rodrigo Bazan |
| author_facet | Gustavo José Luvizutto Maicon Gonçalves Gabriel Gabriel Pereira Braga Thiago Dias Fernandes Luiz Antônio de Lima Resende Octávio Marques Pontes Neto Rodrigo Bazan |
| author_sort | Gustavo José Luvizutto |
| collection | DOAJ |
| description | Objective To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke. Method 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests. Results ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS) at admission (r = -0.52; p < 0.001) and SSS (r = 0.50; p < 0.001). The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001) and hand (r = 0.49; p < 0.001) motor power, and speech (r = 0.51; p < 0.001). The SSS of 25.5 shows sensitivity (68%) and specificity (72%) when associated with ASPECTS ≤ 7. Conclusion The SSS can predict worst neurological impairment when associated with lower values of ASPECTS. |
| format | Article |
| id | doaj-art-2a97e539e970422da9689902a66aed85 |
| institution | Kabale University |
| issn | 1678-4227 |
| language | English |
| publishDate | 2015-05-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-2a97e539e970422da9689902a66aed852025-08-20T03:54:43ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272015-05-0173545045310.1590/0004-282X20150037S0004-282X2015000500014Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairmentGustavo José LuvizuttoMaicon Gonçalves GabrielGabriel Pereira BragaThiago Dias FernandesLuiz Antônio de Lima ResendeOctávio Marques Pontes NetoRodrigo BazanObjective To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke. Method 59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests. Results ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS) at admission (r = -0.52; p < 0.001) and SSS (r = 0.50; p < 0.001). The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001) and hand (r = 0.49; p < 0.001) motor power, and speech (r = 0.51; p < 0.001). The SSS of 25.5 shows sensitivity (68%) and specificity (72%) when associated with ASPECTS ≤ 7. Conclusion The SSS can predict worst neurological impairment when associated with lower values of ASPECTS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500014&lng=en&tlng=enacidente vascular cerebralneuroimagemmedidas de desfecho funcionalescalas |
| spellingShingle | Gustavo José Luvizutto Maicon Gonçalves Gabriel Gabriel Pereira Braga Thiago Dias Fernandes Luiz Antônio de Lima Resende Octávio Marques Pontes Neto Rodrigo Bazan Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment Arquivos de Neuro-Psiquiatria acidente vascular cerebral neuroimagem medidas de desfecho funcional escalas |
| title | Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment |
| title_full | Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment |
| title_fullStr | Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment |
| title_full_unstemmed | Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment |
| title_short | Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment |
| title_sort | aspects correlates with scandinavian stroke scale for predicting early neurological impairment |
| topic | acidente vascular cerebral neuroimagem medidas de desfecho funcional escalas |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015000500014&lng=en&tlng=en |
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