Professional Documents
Culture Documents
2019 262 Moesm1 Esm
2019 262 Moesm1 Esm
1
CPSS1
CPSS2
CPSSS
Jin 2016 Prospective 1989 Basic Stroke Prehospital CT/MRI
[21] demographics subtype
and clinical (AIS vs
characteristics ICH)
Katz 2015 Prospective 303 CPSSS LVO Prehospital CTA
[10]
Kummer Prospective 751 (LVO CPSSS LVO Prehospital Neuroimaging
2016 [38] n=80/751, (CTA/MRA/DSA)
11%)
Kuroda Prospective 498 (stroke TriAGe+ Acute In-hospital Neurology
2017 [11] n=147/498, ABCD2 stroke assessment,
30%) CT/MRI
Lima 2016 Prospective 727 (LVO FAST-ED LVO Prehospital Non-contrast
[26] n=240/727, NIHSS CT, CTA
33%)
RACE
CPSS
Mao 2016 Prospective 416 GZSS Acute Emergency Clinical
[12] ROSIER stroke setting assessment,
(prehospital brain imaging
FAST and in- (CT, MRI)
LAPSS hospital?)
Moore 2016 Retrospective 522 Combinations LVO In-hospital CTA
[20] of NIHSS
criteria
Ollikainen Retrospective 856 (AIS n= FPSS Acute Prehospital Non-contrast
2018 [13] 462/856, NIHSS-8 stroke, CT, CTA
54%; ICH LVO
n=115/856, G-FAST
13%; stroke 3I-SS
mimics
C-STAT
n=279/856,
33%) PASS
FAST-ED
Panichpisal Retrospective 776 (LVO Pomona Tool LVO Prehospital CTA/MRA
2018 [14] n=94/776, Neglect/gaze and in-
12%) deviation hospital
NIHSS items
NIHSS
LAMS
CPSS
VAN
PASS
Purrucker Retrospective 640 CPSS Acute In-hospital Discharge
2015 [15] FAST stroke diagnosis
LAPSS 1998,
2000
MASS
Med PACS
ROSIER
Purrucker Retrospective 689 (stroke sNIHSS-EMS Acute Prehospital Discharge
2017 [24] recognition sNIHSS-8 stroke diagnosis, CTA
cohort)
2
741 (LVO sNIHSS-5 LVO
validation 3I-SS
cohort)
RACE
CPSSS
FAST-ED
PASS
Rodríguez‐ Retrospective 317 DIRECT LVO Prehospital Neurological
Pardo 2017 evaluation
[16]
Scheitz Retrospective 3505 (LVO 3I-SS LVO Prehospital Vessel imaging
2017 [17] n=827/3505, RACE
24%)
C-STAT
PASS
NIHSS
FAST
G-FAST
NIHSS
symptom
profile A/B
Turc 2016 Retrospective 1004 (LVO NIHSS LVO In-hospital DWI, follow-up
[27] n=328/1004, 3I-SS CT, MRA/CTA
33%)
RACE
CPSSS
MPSS
mNIHSS
sNIHSS-1
sNIHSS-5
sNIHSS-8
aNIHSS
OoH-NIHSS
rNIHSS
profiles A-E
vs. F
ROSIER
Vanacker Retrospective 1645 (LVO Integer score LVO In-hospital CTA, MRA, MRI
2016 [39] n=316/1645, (NIHSS;
21%) hemineglect;
female sex;
AF;
no history of
stroke or
stroke
handicap)
NIHSS
Zhao 2018 Prospective 565 ACT-FAST LVO Prehospital Stroke
[18] RACE physician’s
assessment
LAMS
FAST-ED
PASS
C-STAT
3
Abbreviations: 3I-SS - 3-item stroke scale; aNIHSS – abbreviated National Institutes of
Health Stroke Scale; CPSS - Cincinnati Prehospital Stroke Scale; CPSSS - Cincinnati
Prehospital Stroke Severity Scale; C-STAT - the Cincinnati Stroke Triage Assessment Tool;
DIRECT - the Direct Referral to Endovascular Center; EMSA - Emergency Medical Stroke
Assessment; FAST-ED - Field Assessment Stroke Triage for Emergency Destination; FPSS
- the Finnish Prehospital Stroke Scale; KPSS - Kurashiki Prehospital Stroke Scale; LAMS –
Los Angeles Motor Scale; LAPSS - Los Angeles Prehospital Stroke Screen; MASS -
Melbourne Ambulance Stroke Screen; Med PACS - Medic Prehospital Assessment for Code
Stroke; mNIHSS – modified National Institutes of Health Stroke Scale; MPDS - Medical
Priority Dispatch System; MPSS - Maria Prehospital Stroke Scale; NIHSS - National
Institutes of Health Stroke Scale; PASS - Prehospital Acute Stroke Severity Scale; RACE -
Rapid Arterial Occlusion Evaluation; rNIHSS – retrospective National Institutes of Health
Stroke Scale; ROSIER - Recognition of Stroke in the Emergency Room; sNIHSS-EMS -
shortened NIHSS for emergency medical services; sRACE – simplified RACE; VAN – the
Vision Aphasia and Neglect Scale.
GOLD STANDARD untuk mengkonfirmasi bahwa apakah pasien ini benar2 menderita stroke atau
tidak
FQ
1. Tadi pada pada tabel karakteristik studi yang terinklusi itu pada bagian
gold standard nya ada yang diagnosis discharge, bisa dijelaskan lebih
lanjut maksud dari diagnosis discharge disini?
Jadi untuk gold standard disini berfungsi untuk mengkonfirmasi apakah
hasil yang dihasilkan oleh alat penilian klinis yang dinilai itu benar atau
tidak. Untuk discharge diagnosis sebagai gold standard yang dimaksud
ini adalah final diagnosis sebelum pasien keluar dari rumah sakit setelah
semua tes, surgery, dan workup complete.
4
3. Disebutkan juga pada kesimpulan bahwa FABS ini merupakan alat
terbaik dengan sensitivitas dan spesifisitas yang tinggi untuk
membedakan antara stroke akut dengan kondisi yang menyerupai
stroke. Boleh dijelaskan lebih detail untuk komponen yang dinilai pada
alat ini?
FABS ini terdiri dari 6 variabel dengan 1 poin untuk setiap variabel yang
ada: tidak adanya wajah terkulai, riwayat fibrilasi atrium negatif, usia
<50 tahun, tekanan darah sistolik <150 mm Hg saat datang, riwayat
kejang, dan gejala sensorik saja tanpa kelemahan pada saat itu.