Stroke: Assessment: Difference between revisions
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=== Pre Hospital === | === Pre Hospital === | ||
Pre Hospital assessment and determination of stroke severity is a new concept, with the best scale yet to be determined. The Cincinnati and Los Angeles scales have been validated in hospital trials, but studies are mixed when applied by EMS <ref>Asimos AW, Ward S, Brice JH, Rosamond WD, Godstein LB, Studnek J. Out-of-hospital stroke screen accuracy in a state with an emergency medical services protocol for routing patients to acute stroke centers. Annals of Emergency Medicine, 2014; 64 (5) 509-515.</ref>. The RACE Scale had positive results when tested among paramedics in Spain <ref>Perez de la Ossa N, Carrera D, Gorchs M, Querol M, Millan M, Gomis M, et al. Design and validation of a prehospital stroke scale to predict large arterial occlusion: The rapid arterial occlusion evaluation scale. Stroke, 2014; 45:87–91</ref>, is being adopted by many EMS Systems in the United States, and more studies of it are underway.<br> | |||
==== Cincinnati Pre-Hospital Stroke Scale (CPSS) ==== | ==== Cincinnati Pre-Hospital Stroke Scale (CPSS) ==== | ||
==== Los Angeles Prehospital Stroke Screen (LAPSS) ==== | |||
==== Rapid Arterial oCclusion Evaluation (RACE) ==== | |||
==== Miami Emergency Neurological Deficit (MEND) ==== | ==== Miami Emergency Neurological Deficit (MEND) ==== | ||
==== Melbourne Ambulance Stroke Screen (MASS) ==== | ==== Melbourne Ambulance Stroke Screen (MASS) ==== | ||
=== Acute === | === Acute === | ||
Revision as of 00:05, 25 April 2017
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Introduction[edit | edit source]
Stroke Assessment Scales[edit | edit source]
Pre Hospital[edit | edit source]
Pre Hospital assessment and determination of stroke severity is a new concept, with the best scale yet to be determined. The Cincinnati and Los Angeles scales have been validated in hospital trials, but studies are mixed when applied by EMS [1]. The RACE Scale had positive results when tested among paramedics in Spain [2], is being adopted by many EMS Systems in the United States, and more studies of it are underway.
Cincinnati Pre-Hospital Stroke Scale (CPSS)[edit | edit source]
Los Angeles Prehospital Stroke Screen (LAPSS)[edit | edit source]
Rapid Arterial oCclusion Evaluation (RACE)[edit | edit source]
Miami Emergency Neurological Deficit (MEND)[edit | edit source]
Melbourne Ambulance Stroke Screen (MASS)[edit | edit source]
Acute[edit | edit source]
Main role to measure deficits and stroke severity, which predicts patient discharge disposition. It provides a Standardized Neurological Exam, that can be utilised to monitor Neurological Status and can also be used to match patients to allow for comparison in clinical trials.
National Institutes of Health Stroke Scale (NIHSS)[edit | edit source]
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Canadian Neurological Scale - 1986[edit | edit source]
European Stroke Scale - 1994[edit | edit source]
Sub Heading 3[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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- ↑ Asimos AW, Ward S, Brice JH, Rosamond WD, Godstein LB, Studnek J. Out-of-hospital stroke screen accuracy in a state with an emergency medical services protocol for routing patients to acute stroke centers. Annals of Emergency Medicine, 2014; 64 (5) 509-515.
- ↑ Perez de la Ossa N, Carrera D, Gorchs M, Querol M, Millan M, Gomis M, et al. Design and validation of a prehospital stroke scale to predict large arterial occlusion: The rapid arterial occlusion evaluation scale. Stroke, 2014; 45:87–91
