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OA北大核心CSTPCD

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.