Escala MADRID-DIRECT

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Content rating
Everyone
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About this app

It is a simple application that calculates the MADRID-DIRECT score to help in making decisions of prehospital care of acute stroke developed for Stroke Network of the Community of Madrid.


MADRID-DIRECT The scale is based on items age, systolic blood pressure, and five simple clinical items:
- Misuse of conjugate gaze
- Alteration of language: if the patient does not obey simple commands
- Hemineglect (in patients with preserved language): if the patient does not recognize his own limb when asked "Whose arm is this?" or recognize its deficit when asked "Can you move your arms okay?"
- Paresis of the upper extremity: if the patient does not overcome gravity with said end (plane falls against passive mobilization)
- Paresis of the lower extremity: if the patient does not overcome gravity with said end (plane falls against passive mobilization)

The calculation result oriented to the need to transfer the patient to the nearest stroke unit or direct transfer to the corresponding Interventional Center for evaluation of endovascular treatment of stroke.

The use of this application is reserved for qualified under the Plan of Care Ictus of the Madrid medical staff.
Updated on
Jan 27, 2024

Data safety

Safety starts with understanding how developers collect and share your data. Data privacy and security practices may vary based on your use, region, and age. The developer provided this information and may update it over time.
No data shared with third parties
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No data collected
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What’s new

Nueva versión en la que se incluye la escala NIHSS.
El usuario podrá calcular el MADRID-DIRECT directamente o a través de la NIHSS.
Puede utilizarse también para calcular la NIHSS únicamente.

Cuenta con la aprobación de Healthcarepoint para la explotación de la escala.

Para obtener la acreditación en NIHSS visite http://nihstrokescale.org

App support

About the developer
Jorge Rodríguez Pardo de Donlebún
jorge.rpdd@gmail.com
Spain