Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation
Abstract Objectives This study aims to evaluate the diagnostic performance of NIHSS extinction and inattention item, compared to the results of the Oxford Cognitive Screen (OCS) heart subtest. Additionally, the possible role of the NIHSS visual field subtest on the NIHSS extinction and inattention s...
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| Format: | Article |
| Language: | English |
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BMC
2021-12-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-021-02499-9 |
| _version_ | 1818462091020861440 |
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| author | Benedetta Basagni Bahia Hakiki Silvia Campagnini Emilia Salvadori Antonello Grippo Anita Paperini Chiara Castagnoli Ines Hochleitner Angela Maria Politi Paola Gemignani Irene Eleonora Mosca Azzurra Franceschini Enrico Bacci Bonotti Alessandro Sodero Andrea Mannini Leonardo Pellicciari Anna Poggesi Claudio Macchi Maria Chiara Carrozza Francesca Cecchi |
| author_facet | Benedetta Basagni Bahia Hakiki Silvia Campagnini Emilia Salvadori Antonello Grippo Anita Paperini Chiara Castagnoli Ines Hochleitner Angela Maria Politi Paola Gemignani Irene Eleonora Mosca Azzurra Franceschini Enrico Bacci Bonotti Alessandro Sodero Andrea Mannini Leonardo Pellicciari Anna Poggesi Claudio Macchi Maria Chiara Carrozza Francesca Cecchi |
| author_sort | Benedetta Basagni |
| collection | DOAJ |
| description | Abstract Objectives This study aims to evaluate the diagnostic performance of NIHSS extinction and inattention item, compared to the results of the Oxford Cognitive Screen (OCS) heart subtest. Additionally, the possible role of the NIHSS visual field subtest on the NIHSS extinction and inattention subtest performance is explored and discussed. Methods We analysed scores on NIHSS extinction and inattention subtest, NIHSS visual field subtest, and OCS heart subtest on a sample of 118 post-stroke patients. Results Compared to OCS heart subtest, the results on NIHSS extinction and inattention subtest showed an accuracy of 72.9% and a moderate agreement level (Cohen’s kappa = 0.404). Furthermore, a decrease in NIHSS accuracy detecting neglect (61.1%) was observed in patients with pathological scores in NIHSS visual field item. Conclusions Extreme caution is recommended for the diagnostic performance of extinction and inattention item of NIHSS. Signs of neglect may not be detected by NIHSS, and may be confused with visual field impairment. Trial registration This study refers to an observational study protocol submitted to ClinicalTrials.gov with identifier: NCT03968627 . The name of the registry is “Development of a National Protocol for Stroke Rehabilitation in a Multicenter Italian Institution” and the date of the registration is the 30th May 2019. |
| first_indexed | 2024-12-14T23:56:31Z |
| format | Article |
| id | doaj.art-0a4a5d75b97a4abeb84e9fe60100daad |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-12-14T23:56:31Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-0a4a5d75b97a4abeb84e9fe60100daad2022-12-21T22:43:06ZengBMCBMC Neurology1471-23772021-12-012111710.1186/s12883-021-02499-9Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitationBenedetta Basagni0Bahia Hakiki1Silvia Campagnini2Emilia Salvadori3Antonello Grippo4Anita Paperini5Chiara Castagnoli6Ines Hochleitner7Angela Maria Politi8Paola Gemignani9Irene Eleonora Mosca10Azzurra Franceschini11Enrico Bacci Bonotti12Alessandro Sodero13Andrea Mannini14Leonardo Pellicciari15Anna Poggesi16Claudio Macchi17Maria Chiara Carrozza18Francesca Cecchi19IRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiIRCCS Fondazione Don Carlo GnocchiThe Biorobotics Institute, Scuola Superiore Sant’AnnaIRCCS Fondazione Don Carlo GnocchiAbstract Objectives This study aims to evaluate the diagnostic performance of NIHSS extinction and inattention item, compared to the results of the Oxford Cognitive Screen (OCS) heart subtest. Additionally, the possible role of the NIHSS visual field subtest on the NIHSS extinction and inattention subtest performance is explored and discussed. Methods We analysed scores on NIHSS extinction and inattention subtest, NIHSS visual field subtest, and OCS heart subtest on a sample of 118 post-stroke patients. Results Compared to OCS heart subtest, the results on NIHSS extinction and inattention subtest showed an accuracy of 72.9% and a moderate agreement level (Cohen’s kappa = 0.404). Furthermore, a decrease in NIHSS accuracy detecting neglect (61.1%) was observed in patients with pathological scores in NIHSS visual field item. Conclusions Extreme caution is recommended for the diagnostic performance of extinction and inattention item of NIHSS. Signs of neglect may not be detected by NIHSS, and may be confused with visual field impairment. Trial registration This study refers to an observational study protocol submitted to ClinicalTrials.gov with identifier: NCT03968627 . The name of the registry is “Development of a National Protocol for Stroke Rehabilitation in a Multicenter Italian Institution” and the date of the registration is the 30th May 2019.https://doi.org/10.1186/s12883-021-02499-9StrokeNIHSSHemineglectHeminattentionVisual fieldRehabilitation |
| spellingShingle | Benedetta Basagni Bahia Hakiki Silvia Campagnini Emilia Salvadori Antonello Grippo Anita Paperini Chiara Castagnoli Ines Hochleitner Angela Maria Politi Paola Gemignani Irene Eleonora Mosca Azzurra Franceschini Enrico Bacci Bonotti Alessandro Sodero Andrea Mannini Leonardo Pellicciari Anna Poggesi Claudio Macchi Maria Chiara Carrozza Francesca Cecchi Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation BMC Neurology Stroke NIHSS Hemineglect Heminattention Visual field Rehabilitation |
| title | Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation |
| title_full | Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation |
| title_fullStr | Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation |
| title_full_unstemmed | Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation |
| title_short | Critical issue on the extinction and inattention subtest of NIHSS scale: an analysis on post-acute stroke patients attending inpatient rehabilitation |
| title_sort | critical issue on the extinction and inattention subtest of nihss scale an analysis on post acute stroke patients attending inpatient rehabilitation |
| topic | Stroke NIHSS Hemineglect Heminattention Visual field Rehabilitation |
| url | https://doi.org/10.1186/s12883-021-02499-9 |
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