Release Notes:
Data Element
Version 2016B1
| Data Element Name: | Initial Hunt and Hess Scale Performed |
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| Collected For: | CSTK-03, |
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| Definition: | Documentation of the first Hunt and Hess scale that was done at this hospital. The Hunt and Hess scale is a grading system used to classify the severity of a subarachnoid hemorrhage based on the patient’s clinical condition. The scale ranges from a score of 1 to 5. It is used as a predictor of prognosis/outcome with a higher grade correlating to a lower survival rate.
Grade - Description
1 (I) - Asymptomatic, mild headache, slight nuchal rigidity
2 (II) - Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy
3 (III) - Drowsiness / confusion, mild focal neurologic deficit
4 (IV) - Stupor, moderate-severe hemiparesis
5 (V) - Coma, decerebrate posturing
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| Suggested Data Collection Question: | Was an initial Hunt and Hess scale done at this hospital? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Y (YES) Initial Hunt and Hess scale was done at this hospital.
N (No) Initial Hunt and Hess scale was not done at this hospital, OR Unable to determine (UTD) from the medical record documentation.
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| Notes for Abstraction: |
- The Hunt and Hess scale may be documented by the physician/APN/PA or nurse (RN).
- Hunt and Hess obtained by teleneurology and documented in the medical record, select 'YES'.
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| Suggested Data Sources: |
- Consultation notes
- Emergency department record
- History and physical
- Progress notes
- Admitting note
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Hunt and Hess “1-5”
- Hunt and Hess Grade
- Hunt and Hess Scale
- Hunt & Hess “1-5”
- H/H “1-5”
- Hunt & Hess “1-5”/Fischer “X”
- SAH Grade “1-5”
- Grade “1-5” SAH
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None |
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Initial Hunt and Hess Scale Performed
Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)
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