diagnostic accuracy of cincinnati pre-hospital stroke scale
نویسندگان
چکیده
introduction: stroke is recognized as the third cause of mortality after cardiovascular and cancer diseases, so that lead to death of about 5 million people, annually. there are several scales to early prediction of at risk patients and decreasing the rate of mortality by transferring them to the stroke center. in the present study, the accuracy of cincinnati pre-hospital stroke scale was assessed. methods: this was a retrospective cross-sectional study done to assess accuracy of cincinnati scale in prediction of stroke probability in patients referred to the emergency department of poursina hospital, rasht, iran, 2013 with neurologic symptoms. three criteria of cincinnati scale including facial droop, dysarthria, and upper extremity weakness as well as the final diagnosis of patients were gathered. sensitivity, specificity, predictive values, and likelihood ratios of cincinnati scale were calculated using spss version 20. results: 448 patients were assessed. the agreement rate of cincinnati scale and final diagnosis was 0.483 ± 0.055 (p<0.0001). the sensitivity of 93.19% (95% cl: 90.11-95.54), specificity of 51.85% (95% cl: 40.47-63.10), positive predictive value of 89.76% (95% cl: 86.27-92.62), negative predictive value of 62.69% (95% cl: 55.52-72.45), positive likelihood ratio of 1.94% (95% cl: 1.54-2.43), and negative likelihood ratio of 0.13% (95% cl: 0.09-0.20) were calculated. conclusion: it seems that pre-hospital cincinnati scale can be an appropriate screening tool in prediction of stroke in patients with acute neurologic syndromes.
منابع مشابه
Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
INTRODUCTION Stroke is recognized as the third cause of mortality after cardiovascular and cancer diseases, so that lead to death of about 5 million people, annually. There are several scales to early prediction of at risk patients and decreasing the rate of mortality by transferring them to the stroke center. In the present study, the accuracy of Cincinnati pre-hospital stroke scale was assess...
متن کاملDesign and psychometric properties of Iranian pre-hospital stroke scale
Background :The studies have shown that stroke morbidity and mortality could be decreased if early diagnosis and treatment is delivered faster for patients. This tool is designed based on all Pre-hospital stroke scales across the world as well as experiences of the emergency medicine specialists and pre-hospital emergency technicians to improve the diagnostic accuracy of the stroke scale in I...
متن کاملDesigning Iranian Pre-hospital Stroke Scale
BACKGROUND Various studies have shown that stroke morbidity and mortality could be decreased if patients receive early diagnosis and treatment. Iranian Pre-hospital Stroke Scale (IPSS) is designed based on other prehospital stroke scales available across the world as well as experiences of emergency medicine specialists and pre-hospital emergency technicians to improve the diagnostic accuracy o...
متن کاملDesign and validation of a prehospital scale to predict stroke severity: Cincinnati Prehospital Stroke Severity Scale.
BACKGROUND AND PURPOSE We derived and validated the Cincinnati Prehospital Stroke Severity Scale (CPSSS) to identify patients with severe strokes and large vessel occlusion (LVO). METHODS CPSSS was developed with regression tree analysis, objectivity, anticipated ease in administration by emergency medical services personnel and the presence of cortical signs. We derived and validated the too...
متن کاملDiagnostic Accuracy of Acute Appendicitis by Ultrasound in Hospital Emergency
Background Acute appendicitis is the most common medical condition requiring immediate abdominal surgery.Medical ultrasound is a non-intrusive, non-expensive and available diagnostic method. In this study, the accuracy of ultrasound in diagnosis of acute appendicitis in hospital emergency was evaluated. Materials and Methods This retrospective cohort study was performed at Ahvaz Imam Khomeini h...
متن کاملDistribution of National Institutes of Health stroke scale in the Cincinnati/Northern Kentucky Stroke Study.
BACKGROUND AND PURPOSE Little is known about the distribution of National Institutes of Health Stroke Scale (NIHSS) scores from patients with ischemic stroke sampled from population-based studies. We describe the distribution of NIHSS in ischemic stroke cases from the Cincinnati/Northern Kentucky Stroke Study. METHODS Within a biracial population of 1.3 million, all strokes among area residen...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
emergency journalجلد ۳، شماره ۳، صفحات ۹۵-۹۸
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023