中国全科医学2011，Vol.14Issue(10)：1088-1091,4.
急诊脑卒中识别评分量表在社区院前急救中筛选价值的探讨
The Value of the Use of the ROSIER scale in Community Pre-hospital Emergency Care
何明丰 1吴智鑫 1黎练达 1郭奇虹 2冯锦昉
1杨延斌 3李莹莹1
作者信息
- 1. 528000,广东省佛山市,广州中医药大学附属佛山中医院急诊科
- 2. 528000,广东省佛山市,广州中医药大学附属佛山中医院肾病风湿科
- 3. 528000,广东省佛山市,广州中医药大学附属佛山中医院病案统计室
- 折叠
摘要
Abstract
Objective To explore the value of the use of the Recognition of Stroke in the Emergency Room ( ROSIER ) scale in community pre - hospital emergency care. Methods Compared the Face Arm Speech Time ( FAST ) scale , emergency physicians prospectively used the ROSIER scale on suspected stroke patients in community pre - hospital stroke assessment. And the final diagnosis made by the consultant stroke physicians , after assessment and review of clinical symptomatology and brain imaging findings, was used as the reference standard for diagnosis in the study. Calculated the ROSIER scale and FAST scale like sensitivity ( Se), specificity ( Sp ), positive predictive value ( PPV ), negative predictive value ( NPV ), and association coefficient ( r ) . Results In this study, 108 suspected stroke patients were assessed in community pre - hospital emergency care. According to the final diagnosis, the FAST scale showed a diagnostic Se 88. 6％ [ 95％ CI ( 82. 6％ , 94. 6％ ) ], Sp 71. 1％ [ 95％ CI ( 62. 6％, 79. 6％ )], PPV 84. 9％ [ 95％ CI ( 78. 2％, 91.7％ )], and NPV 77. 1％ [ 95％ CI ( 69. 2％ , 85. 0％ ) ] . And the ROSIER scale showed a diagnostic Se 90. 0％ [ 95％ CI ( 84. 3％ , 95. 7％ ) ], Sp 84. 2％ [ 95％ CI ( 77. 3％ , 91. 7％ ) ], PPV 91. 3％ [ 95％ CI ( 86. 0％ . 96. 6％ ) ], and NPV 82. 1％ [ 95％ CI ( 74. 9％ ,89. 3％ ) ]; The r value of the FAST scale and the ROSIER scale were 0. 520 and 0. 594 in this study. And the ROSIER scale was associated with the final diagnosis ( P ＜ 0. 05 ) . However, there was no significant difference of positive rate between the ROSIER scale and FAST scale in recognition of stroke ( P ＞ 0. 05 ) . Conclusion The ROSIER scale was a useful stroke recognition tool in pre - hospital stroke assessment in Chinese mainland community.关键词
脑卒中/诊断鉴别/医院社区/急救医疗服务/院前急救分类
医药卫生引用本文复制引用
何明丰,吴智鑫,黎练达,郭奇虹,冯锦昉
,杨延斌,李莹莹..急诊脑卒中识别评分量表在社区院前急救中筛选价值的探讨[J].中国全科医学,2011,14(10):1088-1091,4.
