30-Day Mortality in Medicare Beneficiaries With Acute Ischemic Stroke

Relationship of National Institutes of Health Stroke Scale to 30-Day Mortality in Medicare Beneficiaries With Acute Ischemic Stroke

American Heart Association: Feb 21, 2012. Gregg C. Fonarow, MD; Jeffrey L. Saver, MD; Eric E. Smith, MD, MPH; Joseph P. Broderick, MD; Dawn O. Kleindorfer, MD; Ralph L. Sacco, MD; Wenqin Pan, PhD; DaiWai M. Olson, PhD; Adrian F. Hernandez, MD, MHS; Eric D. Peterson, MD, MPH; Lee H. Schwamm, MD.

Abstract

Background—The National Institutes of Health Stroke Scale (NIHSS), a well-validated tool for assessing initial stroke severity, has previously been shown to be associated with mortality in acute ischemic stroke. However, the relationship, optimal categorization, and risk discrimination with the NIHSS for predicting 30-day mortality among Medicare beneficiaries with acute ischemic stroke has not been well studied.

Methods and Results—We analyzed data from 33102 fee-for-service Medicare beneficiaries treated at 404 Get With The Guidelines-Stroke hospitals between April 2003 and December 2006 with NIHSS documented.  Read Full Article