Nihss Español
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Transcript of Nihss Español
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NIHSS EN ESPAÑOL
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Objetivos formativos
• Identificar y evaluar trastornos neurológicos en pacientes que sufrieron accidentes cerebrovasculares.
• Comprender la escala de medición para cuantificar trastorno neurológico en pacientes que sufrieron accidentes cerebrovasculares.
• Aplicar constantemente las calificaciones adecuadas de trastornos neurológicos en pacientes que sufrieron accidentes cerebrovasculares • Utilizar la escala para evaluar cambios en los trastornos neurológicos a través del tiempo en pacientes que sufrieron accidentes cerebrovasculares.
Objetivos de aprendizaje
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- Generalidades
Esta actividad gratuita, fácil de usar y formativa es el primer programa diseñado originalmente para brindar capacitación, formación y certificación con respecto a la Escala de Evaluación Neurológica del NIH.
Esta actividad está compuesta por:
PRIMEROS PASOS
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• Público al que va orientado
Esta actividad está destinada a médicos
de emergencias, neurólogos, médicos
de planta y enfermeros/as. Otros
profesionales del cuidado de la salud,
así como los calificadores clínicos
y estudiantes de medicina también pueden participar.
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Grupo de trabajo consultivo
Patrick Lyden, Médico
• Neurólogo, Jefe de Clínica de ACV • Veteran's Affairs Medical Center • Presidente, Departamento de Neurología Sinai Hospital • Profesor de Neurociencia Facultad de Medicina de UCSD San Diego, CA
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Possible Points: Summary
LOC 7
Cranial Nerves (Portions of CN II,III,V,VI,VII) 8
Motor 8x2 = 16
Ataxia 2
Sensory 2
Language 5
Inattention 2
NIHSS total =42
Adapted from presentation by Dr. Edward Sloan, www.uic.edu
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NIHSS and Patient Outcomes
• Total scores range from 0-42 with higher values representing more severe infarcts• >25 Very severe neurological impairment• 15-24 Severe impairment• 5-14 Moderately severe impairment• <5 Mild impairment
Adams, HP, et al. (1999). Neurology: 53: 126-131.• A 2-point (or greater) increase on the NIHSS administered serially indicates
stroke progression. It is advisable to report this increase.
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NIHSS and Patient Outcomes
• Initial score of 7 was found to be important cut-off point • NIHSS >7 demonstrated a worsening rate of 65.9%.• NIHSS <7 demonstrated a worsening rate of 14.8% and were almost twice
(1.9x) as likely to be functionally normal at 48 hours (45%).(DeGraba et al.,1999)
• NIHSS <5 most strongly associated with D/C home• NIHSS 6-13 most strongly associated with D/C to rehab• NIHSS >13 most strongly associated with D/C to nursing facility(Schlegel et al., 2003)
• Likelihood of intracranial hemorrhage:• NIHSS > 20 = 17% likelihood• NIHSS < 20 = 3% likelihood(Adams et al., 2003)
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Online NIHSS Certification
• Online NIHSS Certification available free through the American Stroke Association.
• The online program provides detailed instructions and demonstration scenarios for practice in scoring the NIHSS.
• Certification is completed by scoring different patient scenarios.
www.strokeassociation.org