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Worldwide, stroke is one of the main causes of death or disability, especially in patients with ischemic stroke caused by the occlusion of the proximal intracranial large vessels .
Stroke vascular intravenous thrombolysis and intravascular thrombus dissection it has been proven effective in patients with ischemic stroke, but its effect is highly time-dependent.
After training, medical staff used mobile apps to evaluate 8 prehospital stroke scales, namely: Rapid Arterial Occlusion Assessment (RACE), Los Angeles Exercise Scale (LAMS), Cincinnati Stroke Classification Assessment Tool (C-STAT), Gaze-Facial Arm Language Time (G-FAST), Prehospital Acute Stroke Severity (PASS), Cincinnati Prehospital Stroke Scale (CPSS), convenient field assessment stroke classification (CG-FAST) and FAST-PLUS (face -Arm-Language-Time+Severe arm or leg movement defect) test.
diagnosis
Between August 13, 2018 and September 2, 2019, medical staff confirmed 1,039 suspected stroke patients (median age 72 years [IQR 61-81]), of which 120 (12%) were diagnosed with aLVO .
In summary, the research in this article found that a RACE score of 5 or higher for field assessment is equivalent to a 40% or higher aLVO risk (positive predictive value 0.
A RACE score of 5 or higher in the field assessment is equivalent to a 40% or higher aLVO risk (positive predictive value 0.
Various scales are used online:
medsci.
medsci.
Duvekot, Martijne H CDippel, Diederik WJ et al.
Duvekot, Martijne H CDippel, Diederik WJ et al.
Comparison of eight prehospital stroke scales to detect intracranial large-vessel occlusion in suspected stroke (PRESTO): a prospective observational study.
The Lancet Neurology, Volume 20, Issue 3, 213-221 Comparison of eight prehospital stroke scales to detect intracranial large-vessel occlusion in suspected stroke (PRESTO): a prospective observational study.
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