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ID
24422
Descripción
Routine documentation in German hospitals. Source file name: VL010107_NIH Stroke Scale. Examplary forms provided by DMI (http://www.dmi.de/)
Link
Palabras clave
Versiones (3)
- 24/6/17 24/6/17 -
- 31/7/17 31/7/17 -
- 20/9/21 20/9/21 -
Subido en
31 de julio de 2017
DOI
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Licencia
Creative Commons BY-NC 3.0
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NIH Stroke Scale Routine documentation in German hospitals DMI
NIH Stroke Scale Routine documentation in German hospitals DMI
- StudyEvent: ODM
Similar models
NIH Stroke Scale Routine documentation in German hospitals DMI
- StudyEvent: ODM
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Patient name
Item
Patient name
text
C1299487 (UMLS CUI [1])
CL Item
Day 2 (Day 2)
CL Item
Day 3 (Day 3)
CL Item
Day 4 (Day 4)
CL Item
Day 1 (Day 1)
Date
Item
Date
date
C0011008 (UMLS CUI [1])
CL Item
08 (08)
CL Item
14 (14)
CL Item
20 (20)
CL Item
24 (24)
CL Item
Alert; keenly responsive (0)
CL Item
Not alert; but arousable by minor stimulation to obey, answer, or respond. (1)
CL Item
Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped). (2)
CL Item
Responds only with reflex motor or autonomic effects, or totally unresponsive, flaccid, and areflexic. (3)
CL Item
Answers both questions correctly. (0)
CL Item
Answers one question correctly. (1)
CL Item
Answers neither question correctly. (2)
Item
Attention (patient is asked to open and close the eyes and then to grip and release the non-paretic Hand)
integer
C3649005 (UMLS CUI [1])
Code List
Attention (patient is asked to open and close the eyes and then to grip and release the non-paretic Hand)
CL Item
Performs both tasks correctly. (0)
CL Item
Performs one task correctly. (1)
CL Item
Performs neither task correctly. (2)
CL Item
No visual loss. (0)
CL Item
Partial hemianopia (1)
CL Item
Complete hemianopia. (2)
CL Item
Bilateral hemianopia (blind including cortical blindness). (3)
CL Item
Normal. (0)
CL Item
Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present. (1)
CL Item
Forced deviation, or total gaze paresis is not overcome by the oculocephalic maneuver. (2)
CL Item
Normal symmetrical movements. (0)
CL Item
Minor paralysis (flattened nasolabial fold, asymmetry on smiling). (1)
CL Item
Partial paralysis (total or near-total paralysis of lower face). (2)
CL Item
Complete paralysis of one or both sides (absence of facial movement in the upper and lower face). (3)
Item
Motor Arm (Extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds.)
integer
C3476118 (UMLS CUI [1])
Code List
Motor Arm (Extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds.)
CL Item
No drift; limb holds 90 (or 45) degrees for full 10 seconds. (0)
CL Item
Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support. (1)
CL Item
Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity. (2)
CL Item
No effort against gravity; limb falls. (3)
CL Item
No movement. (4)
Item
Motor Leg (Hold the leg at 30 degrees. Always tested supine.)
integer
C3476119 (UMLS CUI [1])
CL Item
No drift; leg holds 30-degree position for full 5 seconds. (0)
CL Item
Drift; leg falls by the end of the 5- second period but does not hit the bed. (1)
CL Item
Some effort against gravity; leg falls to bed by 5 seconds but has some effort against gravity. (2)
CL Item
No effort against gravity; leg falls to bed immediately. (3)
CL Item
No movement. (4)
CL Item
Absent. (0)
CL Item
Present in one limb. (1)
CL Item
Present in two limbs. (2)
CL Item
Normal; no sensory loss. (0)
CL Item
Mild-to-moderate sensory loss; patient feels pinprick is less sharp or is dull on the affected side; or there is a loss of superficial pain with pinprick, but patient is aware of being touched. (1)
CL Item
Severe or total sensory loss; patient is not aware of being touched in the face, arm, and leg. (2)
CL Item
No abnormality. (0)
CL Item
Visual, tactile, auditory, spatial, or personal inattention, or extinction to bilateral simultaneous stimulation in one of the sensory modalities. (1)
CL Item
Profound hemi-inattention or extinction to more than one modality; does not recognize own hand or orients to only one side of space. (2)
CL Item
Normal; clear and smooth speech (0)
CL Item
Mild-to-moderate dysarthria; some slurring of speech, however the patient can be understood (1)
CL Item
Severe dysarthria; patient's speech is so slurred as to be unintelligible in the absence of or out of proportion to any dysphasia, or is mute/anarthric. (2)
CL Item
No aphasia; normal. (0)
CL Item
Mild-to-moderate aphasia; detectable loss in fluency, however, the examiner should still be able to extract information from patient´s speech. (1)
CL Item
Severe aphasia; all speech is fragmented, and examiner is unable to extract the figure´s content from the patients speech. (2)
CL Item
Mute, global aphasia; no usable speech or auditory comprehension. (3)
NIHSS score
Item
NIHSS score
integer
C3476804 (UMLS CUI [1])
Initials
Item
Initials
text
C2986440 (UMLS CUI [1])
Actual time
Item
Actual time
time
C0040223 (UMLS CUI [1])