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The Canadian Neurological Scale: Validation and reliability assessment
Abstract
The Canadian Neurological Scale (CNS) was designed to monitor mentation and motor functions in stroke patients. We assessed its validity and reliability on a group of 157 patients with a diagnosis of acute cerebrovascular accident. We determined validity by (1) correlating scale items and total score with the standard neurologic examination; (2) exploring the scale's predictive power with different end points at 6 months--the initial CNS was a significant predictor of outcome; (3) showing that the CNS had higher correlation coefficients with the initial neurologic examination than the Glasgow Coma Scale; and (4) assessing the responsiveness of the scale to change in the neurologic status of stroke patients. Interobserver reliability, measured by kappa statistics on each scale item, was good. Accordingly, we established the validity and reliability of the CNS for its use in clinical studies and in the care of stroke patients.
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Cited by
Higashida, R. T., & Furlan, A. J. (2003) · Stroke · doi:10.1161/01.str.0000082721.62796.09 · Cited by 1,543
Saposnik, G., Teasell, R., Mamdani, M., Hall, J., McIlroy, W., Cheung, D., Thorpe, K. E., Cohen, L. G., & Bayley, M. (2010) · Stroke · doi:10.1161/strokeaha.110.584979 · Cited by 721
Early neurologic deterioration in intracerebral hemorrhage: Predictors and associated factors
Leira, R., Dávalos, A., Silva, Y., Gil-Peralta, A., Tejada, J., Garcia, M., & Castillo, J. (2004) · Neurology · doi:10.1212/01.wnl.0000133204.81153.ac · Cited by 498
Duncan, P. W., Jorgensen, H. S., & Wade, D. T. (2000) · Stroke · doi:10.1161/01.str.31.6.1429 · Cited by 484
Schwamm, L. H., Holloway, R. G., Amarenco, P., Audebert, H. J., Bakas, T., Chumbler, N. R., Handschu, R., Jauch, E. C., Knight, W. A., Levine, S. R., et al. (2009) · Stroke · doi:10.1161/strokeaha.109.192360 · Cited by 449
Metadata
- Authors
- Côté, R., Battista, R. N., Wolfson, C., Boucher, J., Adam, J., & Hachinski, V.
- Venue
- Neurology
- Published
- 1989-05
- Volume
- 39
- Issue
- 5
- Pages
- 638-638
- ISSN
- 0028-3878 (ISSN-L)
- 1526-632X
- OpenAlex
- W2003550028
- Cited by
- 461
- References
- 0
- FWCI
- 4.47
- Type
- journal article
- Language
- en
- Open access
- closed
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- Côté, R., Battista, R. N., Wolfson, C., Boucher, J., Adam, J., & Hachinski, V. (1989). The Canadian Neurological Scale: Validation and reliability assessment. Neurology. https://doi.org/10.1212/wnl.39.5.638
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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.
