Stroke, Vol 20, 864-870, Copyright © 1989 by American Heart Association
T Brott, HP Adams Jr, CP Olinger, JR Marler, WG Barsan, J Biller, J Spilker, R Holleran, R Eberle and V Hertzberg
We designed a 15-item neurologic examination stroke scale for use in acute
stroke therapy trials. In a study of 24 stroke patients, interrater
reliability for the scale was found to be high (mean kappa = 0.69), and
test-retest reliability was also high (mean kappa = 0.66- 0.77).
Test-retest reliability did not differ significantly among a neurologist, a
neurology house officer, a neurology nurse, or an emergency department
nurse. The stroke scale validity was assessed by comparing the scale scores
obtained prospectively on 65 acute stroke patients to the patients'
infarction size as measured by computed tomography scan at 1 week and to
the patients' clinical outcome as determined at 3 months. These
correlations (scale-lesion size r = 0.68, scale-outcome r = 0.79) suggested
acceptable examination and scale validity. Of the 15 test items, the most
interrater reliable item (pupillary response) had low validity. Less
reliable items such as upper or lower extremity motor function were more
valid. We discuss methods for improving the reliability and validity of
brief examination scales to be used in stroke therapy trials.
ARTICLES
Measurements of acute cerebral infarction: a clinical examination scale
Department of Neurology, University of Cincinnati, Ohio.
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T. Sobrino, O. Hurtado, M. A. Moro, M. Rodriguez-Yanez, M. Castellanos, D. Brea, O. Moldes, M. Blanco, J. F. Arenillas, R. Leira, et al. The Increase of Circulating Endothelial Progenitor Cells After Acute Ischemic Stroke Is Associated With Good Outcome Stroke, October 1, 2007; 38(10): 2759 - 2764. [Abstract] [Full Text] [PDF] |
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F. Colivicchi, A. Bassi, M. Santini, and C. Caltagirone Discontinuation of Statin Therapy and Clinical Outcome After Ischemic Stroke Stroke, October 1, 2007; 38(10): 2652 - 2657. [Abstract] [Full Text] [PDF] |
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E. Juttler, S. Schwab, P. Schmiedek, A. Unterberg, M. Hennerici, J. Woitzik, S. Witte, E. Jenetzky, W. Hacke, and for the DESTINY Study Group Decompressive Surgery for the Treatment of Malignant Infarction of the Middle Cerebral Artery (DESTINY): A Randomized, Controlled Trial Stroke, September 1, 2007; 38(9): 2518 - 2525. [Abstract] [Full Text] [PDF] |
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S. Schwab, B. Vatankhah, C. Kukla, M. Hauchwitz, U. Bogdahn, A. Furst, H. J. Audebert, M. Horn, and On behalf of the TEMPiS Group Long-term outcome after thrombolysis in telemedical stroke care Neurology, August 28, 2007; 69(9): 898 - 903. [Abstract] [Full Text] [PDF] |
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A. Shuaib, K. R. Lees, P. Lyden, J. Grotta, A. Davalos, S. M. Davis, H.-C. Diener, T. Ashwood, W. W. Wasiewski, U. Emeribe, et al. NXY-059 for the Treatment of Acute Ischemic Stroke N. Engl. J. Med., August 9, 2007; 357(6): 562 - 571. [Abstract] [Full Text] [PDF] |
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H. B. van der Worp and J. van Gijn Acute Ischemic Stroke N. Engl. J. Med., August 9, 2007; 357(6): 572 - 579. [Full Text] [PDF] |
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A. J. Rosengart, K. E. Schultheiss, J. Tolentino, and R. L. Macdonald Prognostic Factors for Outcome in Patients With Aneurysmal Subarachnoid Hemorrhage Stroke, August 1, 2007; 38(8): 2315 - 2321. [Abstract] [Full Text] [PDF] |
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P. C. Lavallee, M. Mazighi, J.-P. Saint-Maurice, E. Meseguer, H. Abboud, I. F. Klein, E. Houdart, and P. Amarenco Stent-Assisted Endovascular Thrombolysis Versus Intravenous Thrombolysis in Internal Carotid Artery Dissection With Tandem Internal Carotid and Middle Cerebral Artery Occlusion Stroke, August 1, 2007; 38(8): 2270 - 2274. [Abstract] [Full Text] [PDF] |
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I. Muus, L. S. Williams, and K. C. Ringsberg Validation of the Stroke Specific Quality of Life Scale (SS-QOL): test of reliability and validity of the Danish version (SS-QOL-DK) Clinical Rehabilitation, July 1, 2007; 21(7): 620 - 627. [Abstract] [PDF] |
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G. Verheyden, A. Nieuwboer, L. De Wit, H. Feys, B. Schuback, I. Baert, W. Jenni, W. Schupp, V. Thijs, and W. De Weerdt Trunk performance after stroke: an eye catching predictor of functional outcome J. Neurol. Neurosurg. Psychiatry, July 1, 2007; 78(7): 694 - 698. [Abstract] [Full Text] [PDF] |
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L. De Wit, K. Putman, B. Schuback, A. Komarek, F. Angst, I. Baert, P. Berman, K. Bogaerts, N. Brinkmann, L. Connell, et al. Motor and Functional Recovery After Stroke: A Comparison of 4 European Rehabilitation Centers Stroke, July 1, 2007; 38(7): 2101 - 2107. [Abstract] [Full Text] [PDF] |
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J. Dawson, J. S. Lees, T.-P. Chang, M. R. Walters, M. Ali, S. M. Davis, H.-C. Diener, K. R. Lees, and for the GAIN and VISTA Investigators Association Between Disability Measures and Healthcare Costs After Initial Treatment for Acute Stroke Stroke, June 1, 2007; 38(6): 1893 - 1898. [Abstract] [Full Text] [PDF] |
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J. Broderick, S. Connolly, E. Feldmann, D. Hanley, C. Kase, D. Krieger, M. Mayberg, L. Morgenstern, C. S. Ogilvy, P. Vespa, et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in Adults: 2007 Update: A Guideline From the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group: The American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke, June 1, 2007; 38(6): 2001 - 2023. [Abstract] [Full Text] [PDF] |
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N. Chitravas, H. M. Dewey, M. B. Nicol, D. L. Harding, D. C. Pearce, and A. G. Thrift Is prestroke use of angiotensin-converting enzyme inhibitors associated with better outcome? Neurology, May 15, 2007; 68(20): 1687 - 1693. [Abstract] [Full Text] [PDF] |
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L. De Wit, H. Kamsteegt, B. Yadav, G. Verheyden, H. Feys, and W. De Weerdt Defining the content of individual physiotherapy and occupational therapy sessions for stroke patients in an inpatient rehabilitation setting. Development, validation and inter-rater reliability of a scoring list Clinical Rehabilitation, May 1, 2007; 21(5): 450 - 459. [Abstract] [PDF] |
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K. Nylen, L. Z. Csajbok, M. Ost, A. Rashid, K. Blennow, B. Nellgard, and L. Rosengren Serum Glial Fibrillary Acidic Protein Is Related to Focal Brain Injury and Outcome After Aneurysmal Subarachnoid Hemorrhage Stroke, May 1, 2007; 38(5): 1489 - 1494. [Abstract] [Full Text] [PDF] |
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H. Ishibashi, L. C. Pettigrew, Y. Funakoshi, and M. Hiramatsu Pharmacokinetics of Arundic Acid, an Astrocyte Modulating Agent, in Acute Ischemic Stroke J. Clin. Pharmacol., April 1, 2007; 47(4): 445 - 452. [Abstract] [Full Text] [PDF] |
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A. Rocco, M. Pasquini, E. Cecconi, G. Sirimarco, M. C. Ricciardi, E. Vicenzini, M. Altieri, V. Di Piero, and G. L. Lenzi Monitoring After the Acute Stage of Stroke: A Prospective Study Stroke, April 1, 2007; 38(4): 1225 - 1228. [Abstract] [Full Text] [PDF] |
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M. Arnold, L. Kappeler, K. Nedeltchev, C. Brekenfeld, U. Fischer, B. Keserue, L. Remonda, G. Schroth, and H. P. Mattle Recanalization and Outcome After Intra-Arterial Thrombolysis in Middle Cerebral Artery and Internal Carotid Artery Occlusion: Does Sex Matter? Stroke, April 1, 2007; 38(4): 1281 - 1285. [Abstract] [Full Text] [PDF] |
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C. M. Boyd, C. O. Weiss, J. Halter, K. C. Han, W. B. Ershler, and L. P. Fried Framework for Evaluating Disease Severity Measures in Older Adults With Comorbidity J. Gerontol. A Biol. Sci. Med. Sci., March 1, 2007; 62(3): 286 - 295. [Abstract] [Full Text] [PDF] |
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C Brekenfeld, L Remonda, K Nedeltchev, M Arnold, H P Mattle, U Fischer, L Kappeler, and G Schroth Symptomatic intracranial haemorrhage after intra-arterial thrombolysis in acute ischaemic stroke: assessment of 294 patients treated with urokinase J. Neurol. Neurosurg. Psychiatry, March 1, 2007; 78(3): 280 - 285. [Abstract] [Full Text] [PDF] |
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T. Razinia, J. L. Saver, D. S. Liebeskind, L. K. Ali, B. Buck, and B. Ovbiagele Body Mass Index and Hospital Discharge Outcomes After Ischemic Stroke Arch Neurol, March 1, 2007; 64(3): 388 - 391. [Abstract] [Full Text] [PDF] |
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K. Narushima, S. Paradiso, D. J. Moser, R. Jorge, and R. G. Robinson Effect of antidepressant therapy on executive function after stroke The British Journal of Psychiatry, March 1, 2007; 190(3): 260 - 265. [Abstract] [Full Text] [PDF] |
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L. S. Williams, K. Kroenke, T. Bakas, L. D. Plue, E. Brizendine, W. Tu, and H. Hendrie Care Management of Poststroke Depression: A Randomized, Controlled Trial Stroke, March 1, 2007; 38(3): 998 - 1003. [Abstract] [Full Text] [PDF] |
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P. N. Sylaja, S. B. Coutts, S. Subramaniam, M. D. Hill, M. Eliasziw, A. M. Demchuk, and for the VISION Study Group Acute ischemic lesions of varying ages predict risk of ischemic events in stroke/TIA patients Neurology, February 6, 2007; 68(6): 415 - 419. [Abstract] [Full Text] [PDF] |
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R. Zahn, T. Ischinger, M. Hochadel, U. Zeymer, W. Schmalz, N. Treese, K. E. Hauptmann, H. Seggewiss, I. Janicke, H. Haase, et al. Carotid artery stenting in octogenarians: results from the ALKK Carotid Artery Stent (CAS) Registry Eur. Heart J., February 1, 2007; 28(3): 370 - 375. [Abstract] [Full Text] [PDF] |
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