Development The National Institutes of Health Stroke Scale (NIHSS) for Predicting Disability and Functional Outcome to Support Discharge Planning After Ischemic Stroke
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Introduction: A discharged stroke patients with disability from hospital need special identify in order to obtain a meaningful quality of life, to improve the functional status of patient's life quality can be started immediately at admission patient in health sevices. The initial discharge planning was carried out to explore patient's needs during inpatient and discharge with the National Institutes of Health Stroke Scale (NIHSS). NIHSS as a predictor model to discharge stroke patient with disability , need to identify effectivity of it to improve the functional status of patient's life quality with stroke.
Methods: Search of journal articles used PECOT framework in the database; Sciencedirect, CINAHL, Elseiver, Sage, Scopus, Ebscohost, and Medline with limitations of publication time is in the last 15 years (2004-2019) by including keywords Natioanal Institutes of Health Stroke Scale, discharge planning, ischemic stroke.
Results: There are 10 journals according specified criteria design that discuss the interventions of discharge planning model patient stroke.
Conclusion: NIHSS can be applied to predicting disability and functional outcome status of patient's life quality with stroke.Al-weshahy, A., El-sherif, R., Abd, K., Selim, A., & Heikal, A. (2017). The Egyptian Journal of Critical Care Medicine Short term outcome of patients with hyperglycemia and acute stroke. The Egyptian Journal of Critical Care Medicine, 5(3), 93–98. https://doi.org/10.1016/j.ejccm.2017.11.003
Hsieh, S. F., Chien, K. L., Weng, C. H., & Chiang, Y. P. (2017). Having More Daughters Independently Predicts Home Discharge in Stroke Patients Admitted to Inpatient Rehabilitation Ward. International Journal of Gerontology. https://doi.org/10.1016/j.ijge.2017.07.005
Kamalakannan, S., Gudlavalleti Venkata, M., Prost, A., Natarajan, S., Pant, H., Chitalurri, N., ... Kuper, H. (2016). Rehabilitation Needs of Stroke Survivors After Discharge From Hospital in India. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2016.02.008
Kwah, L. K., & Diong, J. (2014). National Institutes of Health Stroke Scale ( NIHSS ). Journal of Physiotherapy, 60(1), 61. https://doi.org/10.1016/j.jphys.2013.12.012
Kwah, L. K., Harvey, L. A., Diong, J., & Herbert, R. D. (2013). Models containing age and NIHSS predict recovery of ambulation and upper limb function six months after stroke: An observational study. Journal of Physiotherapy. https://doi.org/10.1016/S1836-9553(13)70183-8
Lyden, P., Raman, R., Liu, L., Emr, M., Warren, M., & Marler, J. (2009). National institutes of health stroke scale certification is reliable across multiple venues. Stroke, 40(7), 2507–2511. https://doi.org/10.1161/STROKEAHA.108.532069
Lyden P. (2017). Using the National Institutes of Health Stroke Scale A Cautionary Tale. 513–519. https://doi.org/10.1161/STROKEAHA.116.015434
Rangaraju, S., Jovin, T. G., Frankel, M., & Schonewille, W. J. (2016). Neurologic Examination at 24 to 48 Hours Predicts Functional Outcomes in Basilar Artery Occlusion Stroke. 2534–2540. https://doi.org/10.1161/STROKEAHA.116.014567
Saposnik, G., Webster, F., O'Callaghan, C., & Hachinski, V. (2005). Optimizing discharge planning: Clinical predictors of longer stay after recombinant tissue plasminogen activator for acute stroke. Stroke, 36(1), 147–150. https://doi.org/10.1161/01.STR.0000150492.12838.66
Schlegel, D. J., Tanne, D., Demchuk, A. M., Levine, S. R., & Kasner, S. E. (2004). Prediction of hospital disposition after thrombolysis for acute ischemic stroke using the National Institutes of Health Stroke Scale. Archives of Neurology. https://doi.org/10.1001/archneur.61.7.1061
Visvanathan, V. (2019). Early supported discharge services for people with acute stroke: A Cochrane review summary. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2018.07.007
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