M O Owolabi1, T Platz. 1. Department of Medicine, University College Hospital, Ibadan, Nigeria. mayowaowolabi@yahoo.com
Abstract
BACKGROUND AND PURPOSE: National Institutes of Health Stroke Scale (NIHSS) is long and complex. Our objective was to design a valid, reliable, simple, and time-saving stroke severity scale. METHODS: About 103 and 100 consecutive stroke patients in Berlin (Germany) and Ibadan (Nigeria), respectively were evaluated using the measures listed below. The Stroke Levity Scale (SLS) was calculated as maximum power (0-5) in the dexterous hand + maximum power in the weaker lower limb + mobility score-1 (if aphasia present). RESULTS: It took less than 2 min to administer the SLS in contrast to 8 min for the NIHSS. The SLS showed significant correlation to the NIHSS (rho = -0.79, P < 0.0001), the modified Rankin Scale (rho = -0.79, P < 0.0001), and the health-related quality of life (QOL) in stroke patient's questionnaire (rho = 0.78, P < 0.0001). It had Cronbach's alpha of 0.75 (Ibadan) and 0.71 (Berlin). The kappa-value for test-retest reliability was 0.77 with P < 0.0001. CONCLUSIONS: The SLS is a concise, valid, and reliable stroke impairment scale that can be used routinely to monitor outcome in stroke patients. Because it is brief and simple to apply, non-neurologists can be taught to administer it in addition to QOL and disability scales for stroke survivors without significantly increasing the respondent burden.
BACKGROUND AND PURPOSE: National Institutes of Health Stroke Scale (NIHSS) is long and complex. Our objective was to design a valid, reliable, simple, and time-saving stroke severity scale. METHODS: About 103 and 100 consecutive strokepatients in Berlin (Germany) and Ibadan (Nigeria), respectively were evaluated using the measures listed below. The Stroke Levity Scale (SLS) was calculated as maximum power (0-5) in the dexterous hand + maximum power in the weaker lower limb + mobility score-1 (if aphasia present). RESULTS: It took less than 2 min to administer the SLS in contrast to 8 min for the NIHSS. The SLS showed significant correlation to the NIHSS (rho = -0.79, P < 0.0001), the modified Rankin Scale (rho = -0.79, P < 0.0001), and the health-related quality of life (QOL) in strokepatient's questionnaire (rho = 0.78, P < 0.0001). It had Cronbach's alpha of 0.75 (Ibadan) and 0.71 (Berlin). The kappa-value for test-retest reliability was 0.77 with P < 0.0001. CONCLUSIONS: The SLS is a concise, valid, and reliable stroke impairment scale that can be used routinely to monitor outcome in strokepatients. Because it is brief and simple to apply, non-neurologists can be taught to administer it in addition to QOL and disability scales for stroke survivors without significantly increasing the respondent burden.
Authors: A Ojagbemi; M Owolabi; R Akinyemi; O Arulogun; J Akinyemi; O Akpa; F S Sarfo; E Uvere; R Saulson; S Hurst; B Ovbiagele Journal: Acta Neurol Scand Date: 2017-04-17 Impact factor: 3.209
Authors: Albert Akpalu; Fred Stephen Sarfo; Bruce Ovbiagele; Rufus Akinyemi; Mulugeta Gebregziabher; Reginald Obiako; Lukman Owolabi; Kwamena Sagoe; Carolyn Jenkins; Oyedunni Arulogun; Sheila Adamu; Lambert T Appiah; Martin A Adadey; Francis Agyekum; Joseph A Quansah; Yaw B Mensah; Abiodun M Adeoye; Arti Singh; Aridegbe O Tosin; Osimhiarherhuo Ohifemen; Abubabkar A Sani; Eric Tabi-Ajayi; Ibinaiye O Phillip; Suleiman Y Isah; Nasir A Tabari; Aliyu Mande; Atinuke M Agunloye; Godwin I Ogbole; Joshua O Akinyemi; Onoja M Akpa; Ruth Laryea; Sylvia Ezinne Melikam; Dorcas Adinku; Ezinne Uvere; Nina-Serena Burkett; Gregory F Adekunle; Salaam I Kehinde; Paschal C Azuh; Abdul H Dambatta; Naser A Ishaq; Donna Arnett; Hemant K Tiwari; Dan Lackland; Mayowa Owolabi Journal: Neuroepidemiology Date: 2015-08-19 Impact factor: 3.282
Authors: Abiodun M Adeoye; Okechukwu S Ogah; Bruce Ovbiagele; Rufus Akinyemi; Vincent Shidali; Francis Agyekum; Akinyemi Aje; Oladimeji Adebayo; Joshua O Akinyemi; Philip Kolo; Lambert Tetteh Appiah; Henry Iheonye; Uwanuruochi Kelechukwu; Amusa Ganiyu; Taiwo O Olunuga; Onoja Akpa; Ojo Olakanmi Olagoke; Fred Stephen Sarfo; Kolawole Wahab; Samuel Olowookere; Adekunle Fakunle; Albert Akpalu; Philip B Adebayo; Kwadwo Nkromah; Joseph Yaria; Philip Ibinaiye; Godwin Ogbole; Aridegbe Olumayowa; Sulaiman Lakoh; Benedict Calys-Tagoe; Paul Olowoyo; Chukwuonye Innocent; Hemant K Tiwari; Donna Arnett; Osaigbovo Godwin; Bisi Ayotunde; Josephine Akpalu; Okeke Obiora; Odo Joseph; Adeleye Omisore; Carolyn Jenkins; Daniel Lackland; Lukman Owolabi; Suleiman Isah; Abdu H Dambatta; Morenikeji Komolafe; Andrew Bock-Oruma; Ezinne Sylvia Melikam; Lucius Chidiebere Imoh; Taofiki Sunmonu; Mulugeta Gebregziabher; Oluyemisi Olabisi; Kevin Armstrong; Ugochukwu U Onyeonoro; Emmanuel Sanya; Atinuke M Agunloye; Luqman Ogunjimi; Oyedunni Arulogun; Temitope H Farombi; Olugbo Obiabo; Reginald Obiako; Mayowa Owolabi Journal: Glob Heart Date: 2017-03-14