Evidence map›Paper›PMID 36712449›Full record

ArticleFrontiers in neurology2022

National Institutes of Health Stroke Scale (NIHSS) scoring inconsistencies between neurologists and emergency room nurses.

Amber R Comer, Evan Templeton, Michelle Glidden, Stephanie Bartlett, Lynn D'Cruz, Donya Nemati, Samantha Zabel, James E Slaven

Abstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Amber R ComerIndiana University School of Health and Human Sciences, Indianapolis, IN, United States.
Evan TempletonIndiana University School of Medicine, Indianapolis, IN, United States.
Michelle GliddenEskenazi Health, Indianapolis, IN, United States.
Stephanie BartlettIndiana University School of Health and Human Sciences, Indianapolis, IN, United States.
Lynn D'CruzIndiana University School of Health and Human Sciences, Indianapolis, IN, United States.
Donya NematiIndiana University School of Health and Human Sciences, Indianapolis, IN, United States.
Samantha ZabelIndiana University School of Health and Human Sciences, Indianapolis, IN, United States.
James E SlavenIndiana University School of Medicine, Indianapolis, IN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Little is known about the consistency of initial NIHSS scores between neurologists and RNs in clinical practice. Methods: A cohort study of patients with a code stroke was conducted at an urban academic Primary Stroke Center in the Midwest between January 1, 2018, and December 31, 2019 to determine consistency in National Institutes of Health Stroke Scale Scores (NIHSS) between neurologists and registered nurses (RNs). Results: Among the 438 patients included in this study 65.3% ( Conclusions: One-in-three initial NIHSS assessed by both a neurologist and RN had a clinically meaningful score difference between providers. More severe stroke, as indicated by a higher NIHSS was associated with scoring inconsistency between neurologist-RN pairs. Subjective scoring measures, especially those involving a patient having aphasia, was associated with greater score incongruency. Score differences may be attributed to differences in NIHSS training requirements between neurologists and RNs.

Indexed as

inconsistencyneurologistsNIHSS scoringnursesstroke

Identifiers

PMID36712449
PMCPMC9875120

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.