Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
Archives of Academic Emergency Medicine,
Vol. 3 No. 3 (2015),
1 August 2015
,
Page 95-98
https://doi.org/10.22037/aaem.v3i3.276
Abstract
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.- Stroke
- decision support techniques
- facial paralysis
- dysarthria
- early diagnosis
How to Cite
References
Luengo-Fernandez R, Gray AM, Rothwell PM. Effect of urgent treatment for transient ischaemic attack and minor stroke on disability and hospital costs (EXPRESS study): a prospective population-based sequential comparison. Lancet Neurol. 2009;8(3):235-43.
Lloyd-Jones D, Adams R, Carnethon M, et al. Heart disease and stroke statistics—2009 update a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119(3):e21-e181.
Delbari A, Salman Roghani R, Tabatabaei SS, Lökk J. A stroke study of an urban area of Iran: risk factors, length of stay, case fatality, and discharge destination. J Stroke Cerebrovasc Dis. 2010;19(2):104-9.
Savitz SI, Caplan LR, Edlow JA. Pitfalls in the diagnosis of cerebellar infarction. Acad Emerg Med. 2007;14(1):63-8.
Chen S, Sun H, Lei Y, et al. Validation of the Los Angeles Pre-Hospital Stroke Screen (LAPSS) in a Chinese Urban Emergency Medical Service Population. PLoS One. 2013;8(8):e70742.
Bray JE, Coughlan K, Barger B, Bladin C. Paramedic diagnosis of stroke examining long-term use of the Melbourne Ambulance Stroke Screen (MASS) in the field. Stroke. 2010;41(7):1363-6.
Kidwell CS, Saver JL, Schubert GB, Eckstein M, Starkman S. Design and retrospective analysis of the Los Angeles prehospital stroke screen (LAPSS). Prehosp Emerg Care. 1998;2(4):267-73.
Kidwell CS, Starkman S, Eckstein M, Weems K, Saver JL. Identifying Stroke in the Field Prospective Validation of the Los Angeles Prehospital Stroke Screen (LAPSS). Stroke. 2000;31(1):71-6.
Kothari RU, Pancioli A, Liu T, Brott T, Broderick J. Cincinnati prehospital stroke scale: reproducibility and validity. Ann Emerg Med. 1999;33(4):373-8.
Studnek JR, Asimos A, Dodds J, Swanson D. Assessing the validity of the Cincinnati Prehospital Stroke Scale and the Medic Prehospital Assessment for Code Stroke in an urban emergency medical services agency. Prehosp Emerg Care. 2013;17(3):348-53.
Kothari RU, Pancioli A, Liu T, Brott T, Broderick J. Cincinnati Prehospital Stroke Scale: Reproducibility and Validity. Ann Emerg Med.33(4):373-8.
Frendl DM, Strauss DG, Underhill BK, Goldstein LB. Lack of impact of paramedic training and use of the cincinnati prehospital stroke scale on stroke patient identification and on-scene time. Stroke. 2009;40(3):754-6.
Donner A, Shoukri MM, Klar N, Bartfay E. Testing the equality of two dependent kappa statistics. Stat Med. 2000;19(3):373-87.
Mingfeng H, Zhixin W, Qihong G, Lianda L, Yanbin Y, Jinfang F. Validation of the use of the ROSIER scale in prehospital assessment of stroke. Ann Indian Acad Neurol. 2012;15(3):191-5.
- Abstract Viewed: 445 times
- PDF Downloaded: 3345 times
- HTML Downloaded: 65 times
Download Statastics
Make a Submission
SJR
COPE
