Distributional Validity and Prognostic Power of the National Institutes of Health Stroke Scale in US Administrative Claims Data.

ABSTRACT:

Importance

Comparative assessment of acute ischemic stroke care quality provided by hospitals in the United States has been hampered by the unavailability of the National Institutes of Health Stroke Scale (NIHSS) in administrative data sets, preventing adequate adjustment for variations in patient case-mix risk. In response to stakeholder concerns, the US Centers for Medicare & Medicaid Services in 2016 implemented optional reporting of NIHSS scores.

Objective

To analyze the distributional, convergent, and predictive validity of nationally submitted NIHSS values in the National Inpatient Sample.

Design, setting, and participants

This population-based retrospective cross-sectional study took place from October 1 to December 31, 2016. The nationally representative sampl

SUBMITTER: Saber H 

PROVIDER: S-EPMC7042858 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature