Idioma:

Field Assessment Stroke Triage for Emergency Destination: A Simple and Accurate Prehospital Scale to Detect Large Vessel Occlusion Strokes

Lima, Fabricio O ; Silva, Gisele S ; Furie, Karen L ; Frankel, Michael R ; Lev, Michael H ; Camargo, Érica C.S ; Haussen, Diogo C ; Singhal, Aneesh B ; Koroshetz, Walter J ; Smith, Wade S ; Nogueira, Raul G

Stroke (1970), 2016-08, Vol.47 (8), p.1997-2002 [Periódico revisado por pares]

United States: American Heart Association, Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
Field Assessment Stroke Triage for Emergency Destination: A Simple and Accurate Prehospital Scale to Detect Large Vessel Occlusion Strokes
Autor: Lima, Fabricio O ; Silva, Gisele S ; Furie, Karen L ; Frankel, Michael R ; Lev, Michael H ; Camargo, Érica C.S ; Haussen, Diogo C ; Singhal, Aneesh B ; Koroshetz, Walter J ; Smith, Wade S ; Nogueira, Raul G
Assuntos: Aged ; Aged, 80 and over ; Arterial Occlusive Diseases - diagnosis ; Arterial Occlusive Diseases - diagnostic imaging ; Brain - diagnostic imaging ; Brain Ischemia - diagnosis ; Brain Ischemia - diagnostic imaging ; Computed Tomography Angiography ; Emergency Medical Services ; Female ; Humans ; Male ; Middle Aged ; Predictive Value of Tests ; Sensitivity and Specificity ; Severity of Illness Index ; Stroke - diagnosis ; Stroke - diagnostic imaging ; Triage - methods
É parte de: Stroke (1970), 2016-08, Vol.47 (8), p.1997-2002
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: BACKGROUND AND PURPOSE—Patients with large vessel occlusion strokes (LVOS) may be better served by direct transfer to endovascular capable centers avoiding hazardous delays between primary and comprehensive stroke centers. However, accurate stroke field triage remains challenging. We aimed to develop a simple field scale to identify LVOS. METHODS—The Field Assessment Stroke Triage for Emergency Destination (FAST-ED) scale was based on items of the National Institutes of Health Stroke Scale (NIHSS) with higher predictive value for LVOS and tested in the Screening Technology and Outcomes Project in Stroke (STOPStroke) cohort, in which patients underwent computed tomographic angiography within the first 24 hours of stroke onset. LVOS were defined by total occlusions involving the intracranial internal carotid artery, middle cerebral artery-M1, middle cerebral artery-2, or basilar arteries. Patients with partial, bihemispheric, and anterior+posterior circulation occlusions were excluded. Receiver operating characteristic curve, sensitivity, specificity, positive predictive value, and negative predictive value of FAST-ED were compared with the NIHSS, Rapid Arterial Occlusion Evaluation (RACE) scale, and Cincinnati Prehospital Stroke Severity (CPSS) scale. RESULTS—LVO was detected in 240 of the 727 qualifying patients (33%). FAST-ED had comparable accuracy to predict LVO to the NIHSS and higher accuracy than RACE and CPSS (area under the receiver operating characteristic curveFAST-ED=0.81 as reference; NIHSS=0.80, P=0.28; RACE=0.77, P=0.02; and CPSS=0.75, P=0.002). A FAST-ED ≥4 had sensitivity of 0.60, specificity of 0.89, positive predictive value of 0.72, and negative predictive value of 0.82 versus RACE ≥5 of 0.55, 0.87, 0.68, and 0.79, and CPSS ≥2 of 0.56, 0.85, 0.65, and 0.78, respectively. CONCLUSIONS—FAST-ED is a simple scale that if successfully validated in the field, it may be used by medical emergency professionals to identify LVOS in the prehospital setting enabling rapid triage of patients.
Editor: United States: American Heart Association, Inc
Idioma: Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Field Assessment Stroke Triage for Emergency Destination: A Simple and Accurate Prehospital Scale to Detect Large Vessel Occlusion Strokes

Lima, Fabricio O ; Silva, Gisele S ; Furie, Karen L ; Frankel, Michael R ; Lev, Michael H ; Camargo, Érica C.S ; Haussen, Diogo C ; Singhal, Aneesh B ; Koroshetz, Walter J ; Smith, Wade S ; Nogueira, Raul G

United States: American Heart Association, Inc

Buscando em bases de dados remotas. Favor aguardar.