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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 st...

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Autores principales: Zohrevandi, Behzad, Monsef Kasmaie, Vahid, Asadi, Payman, Tajik, Hosna, Azizzade Roodpishi, Nastaran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shahid Beheshti University of Medical Sciences 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608338/
https://www.ncbi.nlm.nih.gov/pubmed/26495392
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author Zohrevandi, Behzad
Monsef Kasmaie, Vahid
Asadi, Payman
Tajik, Hosna
Azizzade Roodpishi, Nastaran
author_facet Zohrevandi, Behzad
Monsef Kasmaie, Vahid
Asadi, Payman
Tajik, Hosna
Azizzade Roodpishi, Nastaran
author_sort Zohrevandi, Behzad
collection PubMed
description 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.
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spelling pubmed-46083382015-10-22 Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale Zohrevandi, Behzad Monsef Kasmaie, Vahid Asadi, Payman Tajik, Hosna Azizzade Roodpishi, Nastaran Emerg (Tehran) Original Research 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. Shahid Beheshti University of Medical Sciences 2015 /pmc/articles/PMC4608338/ /pubmed/26495392 Text en Copyright © 2015 Shahid Beheshti University of Medical Sciences. This open-access article distributed under the terms of the Creative Commons Attribution Noncommercial 3.0 License (CC BY-NC 3.0)., (https://creativecommons.org/licenses/by-nc/3.0/).
spellingShingle Original Research
Zohrevandi, Behzad
Monsef Kasmaie, Vahid
Asadi, Payman
Tajik, Hosna
Azizzade Roodpishi, Nastaran
Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
title Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
title_full Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
title_fullStr Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
title_full_unstemmed Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
title_short Diagnostic Accuracy of Cincinnati Pre-Hospital Stroke Scale
title_sort diagnostic accuracy of cincinnati pre-hospital stroke scale
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4608338/
https://www.ncbi.nlm.nih.gov/pubmed/26495392
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