• Medicina clinica · Nov 2021

    Case Reports Observational Study

    Usefulness of NIHSS score as a predictor of non-neurological in-hospital complications in stroke.

    • Florencia Garavelli, Albertina María Ghelfi, and Jorge Guillermo Kilstein.
    • Servicio de Clínica Médica, Hospital Escuela Eva Perón, Santa Fe, Argentina. Electronic address: florgaravelli@hotmail.com.
    • Med Clin (Barc). 2021 Nov 12; 157 (9): 434-437.

    IntroductionPatients with stroke are at risk of developing non-neurological in-hospital complications (NNIHC) during hospitalization. The NIHSS is a scale used and validated to determine stroke severity, treatment, and prognosis. We evaluated the relationship between the NIHSS score obtained on admission and the development of NNIHC during hospital stay.MethodsObservational study of prospective cohorts. Patients admitted consecutively for stroke, to an intermediate care ward, in Argentina between 08/01/2017 and 02/29/20 were included. The patients were divided into Group1 (with NNIHC) and Group2 (without NNIHC).ResultsThe final n consisted of 78 individuals, 41% women. When comparing the means of the NIHSS score, differences were observed between the groups in the development of NNIHC in general (P=.050) and in the following specific complications: dysphagia (P=.014), aspiration pneumonia (P=.006), in-hospital pneumonia (P=.010) and intrahospital urinary infection (P=.004). The cut-off point of 10.5 presented the best predictive performance of NNIHC (AUC=.706; P=.016).ConclusionsAn NIHSS value ≥10.5 was related to the development of NNIHC in patients admitted for stroke.Copyright © 2020 Elsevier España, S.L.U. All rights reserved.

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