title: Aspects correlates with Scandinavian Stroke Scale for predicting early neurological impairment.
abstract: OBJECTIVE
  To investigate the correlation between the Alberta Program Early CT Score (ASPECTS) and the Scandinavian Stroke Scale (SSS) for the evaluation of neurological impairment in patients with acute stroke.
  
  
  METHODS
  59 patients with a first acute ischemic stroke were evaluated. The ASPECTS were evaluated by 2 neurologists at admission and by another neurologist after 48 hours. The NIHSS and SSS was applied to determinate stroke severity. Correlations and agreements were analysed statistically by Spearman and Kappa tests.
  
  
  RESULTS
  ASPECTS was correlated with National Institute of Health Stroke Scale (NIHSS) at admission (r = -0.52; p < 0.001) and SSS (r = 0.50; p < 0.001). The ASPECTS and SSS items were most correlated with arm (r = 0.52; p < 0.001) and hand (r = 0.49; p < 0.001) motor power, and speech (r = 0.51; p < 0.001). The SSS of 25.5 shows sensitivity (68%) and specificity (72%) when associated with ASPECTS ≤ 7.
  
  
  CONCLUSIONS
  The SSS can predict worst neurological impairment when associated with lower values of ASPECTS.
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Gustavo José
authors.initials: GJ
authors.lastname: Luvizutto
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Maicon Gonçalves
authors.initials: MG
authors.lastname: Gabriel
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Gabriel Pereira
authors.initials: GP
authors.lastname: Braga
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Thiago Dias
authors.initials: TD
authors.lastname: Fernandes
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Luiz Antônio de Lima
authors.initials: LA
authors.lastname: Resende
authors.affiliation: Departamento de Neurociências e Ciências do comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Octávio Marques
authors.initials: OM
authors.lastname: Pontes Neto
authors.affiliation: Departamento de Neurologia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista "Júlio de Mesquita Filho", Botucatu, SP, Brazil.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Bazan
mesh_terms: D000368:Aged; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D009460:Neurologic Examination; D012016:Reference Values; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric; D020521:Stroke / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D013997:Time Factors