Estimation of stroke severity with National Institutes of Health Stroke Scale grading and retinal features: A cross-sectional study

To estimate National Institutes of Health Stroke Scale (NIHSS) grading of stroke patients with retinal characteristics.A cross-sectional study was conducted in Shenzhen Traditional Chinese Medicine Hospital. Baseline information and retinal photos were collected within 2 weeks of admission. An NIHSS...

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Bibliographic Details
Published in:Medicine (Baltimore) 2021-08, Vol.100 (31), p.e26846-e26846
Main Authors: Zhuo, Yuanyuan, Qu, Yimin, Wu, Jiaman, Huang, Xingxian, Yuan, Weiqu, Lee, Jack, Yang, Zhuoxin, Zee, Benny
Format: Article
Language:English
Subjects:
China - epidemiology
Cross-Sectional Studies
Female
Heart Disease Risk Factors
Humans
Hypertension - diagnosis
Hypertension - epidemiology
Male
Microcirculation
Middle Aged
Models, Statistical
Multivariate Analysis
Observational Study
Recurrence
Research Design
Retinal Vessels - diagnostic imaging
Secondary Prevention - methods
Severity of Illness Index
Stroke - classification
Stroke - diagnosis
Stroke - epidemiology
Stroke - prevention & control
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Summary:To estimate National Institutes of Health Stroke Scale (NIHSS) grading of stroke patients with retinal characteristics.A cross-sectional study was conducted in Shenzhen Traditional Chinese Medicine Hospital. Baseline information and retinal photos were collected within 2 weeks of admission. An NIHSS score was measured for each patient by trained doctors. Patients were classified into 0 to 4 score group and 5 to 42 score group for analysis. Three multivariate logistic models, with traditional clinical characteristics alone, with retinal characteristics alone, and with both, were built.For clinical characteristics, hypertension duration is statistically significantly associated with higher NIHSS score (P = .014). Elevated total homocysteine levels had an OR of 0.456 (P = .029). For retinal characteristics, the fractal dimension of the arteriolar network had an OR of 0.245 (P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000026846