中国卒中杂志2024，Vol.19Issue(9)：1018-1024,7.DOI:10.3969/j.issn.1673-5765.2024.09.006
五种院前卒中筛查量表对院内急性大血管闭塞性缺血性卒中的预测价值
Predictive Value of Five Prehospital Stroke Screening Scales for In-Hospital Acute Large Vessel Occlusive Ischemic Stroke
姜河 1王珵 1陈祥华 1许春香1
作者信息
- 1. 盐城 224200 东台市人民医院神经内科
- 折叠
摘要
Abstract
Objective To investigate and analyze the predictive value of five prehospital stroke screening scales for in-hospital acute large vessel occlusive ischemic stroke.
Methods All patients admitted to Dongtai People's Hospital for non-stroke-related diseases who activated the in-hospital stroke green channel due to suspected stroke symptoms during hospitalization from January 2015 to December 2022 were retrospectively included.The ROC curve was used to evaluate the predictive value of the screening scales for in-hospital acute large vessel occlusive ischemic stroke.The five scales included field assessment stroke triage for emergency destination(FAST-ED),rapid arterial occlusion evaluation(RACE),Los Angeles motor scale(LAMS),Cincinnati prehospital stroke severity scale(CPSSS),and prehospital acute stroke severity scale(PASS).
Results A total of 174 patients were included in this study,of which 54(31.0％)patients were diagnosed with acute large vessel occlusive ischemic stroke.RACE(AUC 0.888,95％CI 0.849-0.928)and LAMS(AUC 0.859,95％CI 0.812-0.905)had the highest predictive efficacy for acute large vessel occlusive ischemic stroke,followed by FAST-ED(AUC 0.820,95％CI 0.768-0.872),CPSSS(AUC 0.810,95％CI 0.756-0.863)and PASS(AUC 0.786,95％CI 0.727-0.844),and there was no significant difference among them.
Conclusions The prehospital stroke screening scales showed good predictive efficacy in predicting in-hospital acute large vessel occlusive ischemic stroke,and RACE and LAMS showed the highest predictive efficacy.关键词
卒中/院内卒中/大血管闭塞/卒中筛查量表/预测Key words
Stroke/In-hospital stroke/large vessel occlusion/Stroke screening scale/Prediction分类
医药卫生引用本文复制引用
姜河,王珵,陈祥华,许春香..五种院前卒中筛查量表对院内急性大血管闭塞性缺血性卒中的预测价值[J].中国卒中杂志,2024,19(9):1018-1024,7.
