Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Usefulness of NIHSS score as a predictor of non-neurological in-hospital complic...
Journal Information
Vol. 157. Issue 9.
Pages 434-437 (November 2021)
Download PDF
More article options
Vol. 157. Issue 9.
Pages 434-437 (November 2021)
Brief report
Usefulness of NIHSS score as a predictor of non-neurological in-hospital complications in stroke
Utilidad del score NIHSS como predictor de complicaciones intrahospitalarias no neurológicas en ictus isquémico
Florencia Garavelli
Corresponding author

Corresponding author.
, Albertina María Ghelfi, Jorge Guillermo Kilstein
Servicio de Clínica Médica, Hospital Escuela Eva Perón, Santa Fe, Argentina
Article information
Full Text
Download PDF
Figures (1)
Tables (2)
Table 1. Baseline characteristics of the groups.
Table 2. Multivariate analysis of the factors associated with NNIHC.
Show moreShow less

Patients with stroke are at risk of developing non-neurological in-hospital complications (NNIHC) during hospitalization. The NIHSS is a scale used and validated to determine stroke severity, treatment, and prognosis. We evaluated the relationship between the NIHSS score obtained on admission and the development of NNIHC during hospital stay.


Observational study of prospective cohorts. Patients admitted consecutively for stroke, to an intermediate care ward, in Argentina between 08/01/2017 and 02/29/20 were included. The patients were divided into Group 1 (with NNIHC) and Group 2 (without NNIHC).


The final n consisted of 78 individuals, 41% women. When comparing the means of the NIHSS score, differences were observed between the groups in the development of NNIHC in general (P = .050) and in the following specific complications: dysphagia (P = .014), aspiration pneumonia (P = .006), in-hospital pneumonia (P = .010) and intrahospital urinary infection (P = .004). The cut-off point of 10.5 presented the best predictive performance of NNIHC (AUC = .706; P = .016).


An NIHSS value ≥10.5 was related to the development of NNIHC in patients admitted for stroke.

Ischaemic stroke
In-hospital complications
Infectious complications
Prediction of complications

Los pacientes con ictus isquémico (II) presentan riesgo de desarrollar complicaciones intrahospitalarias no neurológicas (CIHNN) durante la internación. El NIHSS es una escala utilizada y validada para determinar gravedad, tratamiento y pronóstico del II. Evaluamos la relación entre el puntaje NIHSS obtenido al ingreso y el desarrollo CIHNN durante la estancia hospitalaria.


Estudio observacional, de cohortes prospectivas. Incluyó pacientes ingresados consecutivamente por II, en una sala de cuidados intermedios, entre 01/08/2017 y 29/02/20, en Argentina. Se dividió a los pacientes en Grupo 1 (con CIHNN) y Grupo 2 (sin CIHNN).


La n final constó de 78 individuos; 41% mujeres. Al comparar las medias de puntaje NIHSS, se observaron diferencias entre los grupos para desarrollo de CIHNN en general (p = 0,050) y para las siguientes complicaciones específicas: disfagia (p = 0,014), neumonía aspirativa (p = 0,006), neumonía intrahospitalaria (p = 0,010) e infección urinaria intrahospitalaria (p = 0,004). El punto de corte de 10,5 presentó el mejor desempeño predictivo de CIHNN (AUC = 0,706; p = 0,016).


Un valor de NIHSS ≥ 10,5 se relacionó al desarrollo de CIHNN en pacientes ingresados por II.

Palabras clave:
Ictus isquémico
Complicaciones intrahospitalarias
Complicaciones infecciosas
Predicción de complicaciones


These are the options to access the full texts of the publication Medicina Clínica (English Edition)

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe to

Medicina Clínica (English Edition)

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos