BACKGROUND: Despite the availability of multiple comprehensive screening methods to detect @entity1282 during @entity64 , consensus is lacking as to the best practice. Our previous study demonstrated favorable sensitivity of the @entity177 ( @entity177 ) compared with a bedside 3-sip test. However, the @entity177 is challenging to administer during @entity64 . The National Institutes of Health @entity64 Scale (NIHSS) is administered routinely in the emergency department. OBJECTIVE: To evaluate the utility of the NIHSS as a predictor of clinically relevant poststroke @entity1282 compared with @entity177 data in the same cohort. DESIGN: Retrospective analysis. SETTING: Academic medical center. @entity1 : Individuals with @entity64 who were admitted for acute care and later transferred to acute rehabilitation within the same institution. METHODS: Clinically relevant @entity1282 was defined as aspiration on modified barium swallow or laryngeal penetration on modified barium swallow requiring diet change, or @entity1174 . NIHSS and @entity177 scores were compiled for all @entity1 . MAIN OUTCOME MEASUREMENTS: Sensitivity, specificity, positive predictive value, and negative predictive value were calculated for NIHSS and @entity177 . Sensitivity and specificity of different values of NIHSS and @entity177 were analyzed via receiver operator characteristic curves. RESULTS: Of 290 @entity1 admitted to @entity64 rehabilitation, 88 (30%) manifested clinically relevant @entity1282 during their rehabilitation stay. Sensitivity analyses suggested cut-off values for the NIHSS and the @entity177 of >9 and <55, respectively. Sensitivity, specificity, positive predictive value, and negative predictive value for the NIHSS were 75%, 62%, 46%, and 85%, respectively. For the @entity177 , these parameters were 80%, 72%, 55%, and 92%, respectively. CONCLUSIONS: The NIHSS >9 and @entity177 <55 are moderately predictive of clinically relevant @entity1282 . Although the NIHSS clinical test characteristics are not as favorable as the @entity177 , NIHSS appears to be more sensitive than some other reported methods such as  a 3-sip water test. Further study into development of paradigms that incorporate NIHSS into initial assessment of @entity1282 risk  may be appropriate.

National Institutes of Health @entity64 Scale (NIHSS) as An Early Predictor of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity64 :: ('MESH:D020521', 'Disease') :: ['acute stroke care', 'Stroke', 'acute stroke'] @entity177 :: ('MESH:D051437', 'Disease') :: ['FIM', 'Functional Independence Measure'] @entity1174 :: ('MESH:D011015', 'Disease') :: ['aspiration pneumonia'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia']
@entity1282 :: (MESH:D003680,Disease) :: ['Poststroke Dysphagia']
