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Clinical Trials Versus Clinical UseWhen using the NIHSS, it is critical to acknowledge that the scale was not designed to serve as a bedside rating tool for widespread use outside of research trials.6 Rather, the scale was designed to be used by investigators (MD, RN) in the setting of a clinical trial.15 The NIHSS design assumes that the Using the National Institutes of Health Stroke Scale
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Patrick D. Lyden (2017) studied this question.
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