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Title: A validation study of the Bahasa Malaysia version of the National Institute of Health Stroke Scale.
Author: Kori, Najma
Zaidi, Wan Asyraf Wan
Remli, Rabani
Raymond, Azman Ali
Ibrahim, Norlinah Mohamed
Tan, Hui Jan
Zakaria, Syed Zulkifli Syed
Law, Zhe Kang
Ahmad, Kartini
Yahya, Wan Nafisah
Sahathevan, Ramesh
Issue Date: 2018
Publication Title: Neurology Asia
Volume: 23
Issue: 3
Start Page: 225
End Page: 232
Abstract: Background & Objectives: The National Institute of Health Stroke Scale (NIHSS) provides a valid and quick assessment of stroke severity in hyperacute stroke management. Stroke patients who are eligible for reperfusion therapy require prompt assessment. There is no validated Bahasa Malaysia (BM) version of the NIHSS that allows easier assessment by BM-speaking health professionals. This study aimed to translate and validate a BM version of the NIHSS. Methods: The English NIHSS was translated to BM, then back translated to ensure linguistic accuracy. We also adapted the language assessment of the NIHSS to be more culturally appropriate. Training and certification videos were downloaded from the NIH website and dubbed into BM. We determined intra-class correlation and unweighted kappa as the best measure of reliability. Median scores were used in the analysis for language items. Results: One hundred and one raters participated in the test-retest reliability study. Agreement between the original NIHSS and our translated version of the BM-NIHSS was good (ICC = 0.738, 95% CI: 0.611 to 0.823). Fair to moderate agreement was found on item-by-item analysis (unweighted κ=0.20-0.50) despite high observed agreement. Fifty patients participated in the language assessment arm. Scores were better in BM for reading, naming objects and repetition (Mdn = 100, p < 0.001). There was no difference in the median scores for the description component. Conclusions: The BM-NIHSS is a valid translation of the NIHSS, and may be used in clinical practice by BM-speaking healthcare professionals.
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Internal ID Number: 01201
Health Subject: NIHSS
Type: Journal Article
Appears in Collections:Research Output

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