Reliability of Siriraj stroke score to distinguish between hemorrhagic and ischemic stroke

IF 1.3 Q4 CLINICAL NEUROLOGY
Iqra Athar, Adil Muhammad Malik, Neelma Naz Khattak, Anam Anis, Mansoor Iqbal, Haris Majid, Mazhar Badshah
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引用次数: 0

Abstract

Objective

The aim of study was to establish a quick way to differentiate between hemorrhagic and ischemic stroke by using siriraj stroke score and find its specificity and sensitivity by comparing it with CT scan findings.

Study design

Cross-sectional study.

Place and duration of study

Department of Neurology Pakistan Institute of Medical Sciences Islamabad from Jan 2021 to June 2021.

Methodology

Total 110 patients of acute stroke were included. Any patient of > 20 years old, non-traumatic, focal neurological deficit < 14 days with no obvious reason other than vascular were included. Siriraj stroke score was calculated its findings were compared with a CT scan findings. Data was analyzed by SPSS ver.23.0.

Results

The mean age of patients was 66.10 ± 14.58 years. There were 54 (49.10 %) males and 56 (50.90 %) females. Hypertension was the most common disease found in 79 (71.8 %). The sensitivity, specificity, PPV and NPV of Siriraj stroke score was 83.87 %, 66.6 %, 74.2 % and 71.42 % respectively for hemorrhagic stroke and 93.4 %, 80.95 %, 93.4 % and 37.03 % respectively for non-hemorrhagic stroke.

Conclusion

It is an easy, cost effective and bed side scoring system which can accurately identify the stroke type without any other radiological investigation. It can be employed in areas where CT scan facility is not available and treatment can be started early which will definitely lower mortality and morbidity of stroke patients.

Siriraj卒中评分区分出血性卒中和缺血性卒中的可靠性
目的建立一种利用siriraj脑卒中评分快速区分出血性脑卒中和缺血性脑卒中的方法,并通过与CT扫描结果的比较来寻找其特异性和敏感性。研究设计横断面研究。研究地点和持续时间巴基斯坦医学科学研究所神经内科伊斯兰堡,2021年1月至2021年6月。方法共纳入110名急性脑卒中患者。任何>;20岁,非创伤性,局灶性神经功能缺损<;14天,除血管外无明显原因。计算Siriraj中风评分,将其结果与CT扫描结果进行比较。结果患者平均年龄为66.10±14.58岁,男性54例(49.10%),女性56例(50.90%)。高血压是79例患者中最常见的疾病(71.8%)。Siriraj卒中评分的敏感性、特异性、PPV和NPV对出血性卒中分别为83.87%、66.6%、74.2%和71.42%,对非出血性卒中则分别为93.4%、80.95%、93.4%和37.03%。结论这是一种简单、经济有效的床侧评分系统,无需任何其他放射学检查即可准确识别中风类型。它可以用于没有CT扫描设施的地区,并且可以尽早开始治疗,这肯定会降低中风患者的死亡率和发病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Brain Hemorrhages
Brain Hemorrhages Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
52
审稿时长
22 days
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