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All Journal Gaster
Roifatul Fatma Amallia
Nursing Study Program, Muhammadiyah Lamongan University
Health Professions Medicine & Pharmacology Nursing Public Health

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NIHSS-Defined Stroke Severity in an Indonesian Emergency Department: A Descriptive Cross-Sectional Study Roifatul Fatma Amallia; Isni Lailatul Maghfiroh; Aprelia Afidatul Hanafi
Gaster Vol 24 No 2 (2026): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i2.2592

Abstract

Introduction: Standardized assessment of neurological deficits is important in acute stroke care, but local distributions of National Institutes of Health Stroke Scale (NIHSS) severity are incompletely reported. Objective: To describe NIHSS-defined stroke severity and recorded neurological deficit profiles among stroke patients in an emergency department in Bojonegoro, East Java, Indonesia. Method: This descriptive cross-sectional study enrolled 70 consecutive stroke patients in February–March 2026. Total NIHSS severity categories and individual item distributions were summarized using counts and percentages. Result: Moderate NIHSS severity (5–15) was recorded in 31 patients (44.3%), severe (16–42) in 29 (41.4%), and mild (1–4) in 10 (14.3%). Ischemic stroke was recorded in 44 (62.9%). Minor facial palsy occurred in 43 (61.4%) and mild-to-moderate sensory loss in 41 (58.6%). Conclusion: Most patients in this single-department sample were classified as moderate or severe under the study thresholds. Findings describe a local case profile and do not establish stroke prognosis, diagnostic performance, or treatment effectiveness.
Co-Authors Aprelia Afidatul Hanafi Isni Lailatul Maghfiroh