Release Notes:
Data Element
Version 2018B1
| Name: | Initial NIHSS Score at Hospital Arrival |
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| Collected For: |
CSTK-05, CSTK-08, CSTK-10 |
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| Definition: | Documentation of the first NIHSS score obtained prior to or after hospital arrival. The NIHSS measures several aspects of brain function, including consciousness, vision, sensation, movement, speech, and language.
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| Question: | What is the first NIHSS score obtained prior to or after hospital arrival? |
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| Format: |
| Length: | 3 (0 to 42) |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Score = XX (0-42)
UTD = Unable to Determine
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| Notes for Abstraction: |
- To determine the value for this data element, review the NIHSS scores obtained prior to and after hospital arrival.
- Select the earliest documented NIHSS score regardless of where it was done. Values obtained and documented by EMS, teleneurology, a transferring hospital, or your hospital are acceptable. The first documented NIHSS score should be used.
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| Suggested Data Sources: |
- Emergency department record
- History and physical
- Nursing flow sheet
- Progress notes
- Transfer sheet
- Admitting note
- Ambulance record
- Consultation form/note
- Nursing assessment
- EMS records
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| Additional Notes: |
Excluded Data Sources: |
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
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None
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- Modified NIHSS scores
- Estimated NIHSS scores
- Scoring methodologies other than NIHSS
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