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Reliability of Scandinavian Neurological Stroke Scale
Abstract
The Scandinavian hemodilution study in acute ischemic stroke used the neurological scale presented here in assessing prognosis and long-term outcome. The purpose of the present study was to test its interobserver reliability. The scale consists of two parts: one for assessing the acute prognosis and one for assessing the neurological deficit acutely and at follow-up. The items rated are: consciousness, gaze palsy, Iimb weakness, dysphasia, orientation, facial palsy and gait. Fifty acute stroke patients were rated by 2 doctors each. The agreement rates were corrected for chance (kappa statistics). Interobserver agreement was good to excellent with weighted kappa values ranging from 0.688 to 0.912. Patients who died within 6 weeks had a lower prognostic score than the survivors. The long-term scores of 2 observers were highly correlated (R = 0.954). The scale provides a reliable instrument for stratification of stroke patients and for evaluation of long-term outcome.
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Citations
Cited by
Higashida, R. T., & Furlan, A. J. (2003) · Stroke · doi:10.1161/01.str.0000082721.62796.09 · Cited by 1,543
Aphasia after Stroke: Type, Severity and Prognosis
Pedersen, P. M., Vinter, K., & Olsen, T. S. (2004) · Cerebrovascular Diseases · doi:10.1159/000073896 · Cited by 622
Hemorrhagic and Ischemic Strokes Compared: Stroke Severity, Mortality, and Risk Factors
Andersen, K. K., Olsen, T. S., Dehlendorff, C., & Kammersgaard, L. P. (2009) · Stroke · doi:10.1161/strokeaha.108.540112 · Cited by 552
Sandset, E. C., Bath, P. M., Boysen, G., Jatuzis, D., Kõrv, J., Lüders, S., Murray, G. D., Richter, P. S., Roine, R. O., Terént, A., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60104-9 · Cited by 541
Self-citationOutcome and time course of recovery in stroke. Part I: Outcome. The Copenhagen stroke study
Jørgensen, H. S., Nakayama, H., Raaschou, H. O., Vive-Larsen, J., Støier, M., & Olsen, T. S. (1995) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(95)80567-2 · Cited by 538
Metadata
- Authors
- Lindenstrøm, E., Boysen, G., Waage Christiansen, L., à Rogvi Hansen, B., & Würtzen Nielsen, P.
- Venue
- Cerebrovascular Diseases
- Publisher
- S. Karger AG
- Published
- 1991
- Volume
- 1
- Issue
- 2
- Pages
- 103-107
- ISSN
- 1015-9770 (ISSN-L)
- 1421-9786
- OpenAlex
- W2006336793
- Cited by
- 332
- References
- 0
- FWCI
- 5.92
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Reliability of Scandinavian Neurological Stroke Scale. https://app.cochat.ai/papers/10.1159/000108825
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- Lindenstrøm, E., Boysen, G., Waage Christiansen, L., à Rogvi Hansen, B., & Würtzen Nielsen, P. (1991). Reliability of Scandinavian Neurological Stroke Scale. Cerebrovascular Diseases. https://doi.org/10.1159/000108825
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
