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Status: Bibliographieeintrag

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Verfasst von:Krebs, Stefan [VerfasserIn]   i
 Roth, Dominik [VerfasserIn]   i
 Knoflach, Michael [VerfasserIn]   i
 Baubin, Michael [VerfasserIn]   i
 Lang, Wilfried [VerfasserIn]   i
 Beisteiner, Roland [VerfasserIn]   i
 Purrucker, Jan [VerfasserIn]   i
 Poli, Sven [VerfasserIn]   i
 Sykora, Marek [VerfasserIn]   i
Titel:Design and derivation of the Austrian Prehospital Stroke Scale (APSS) to predict severe stroke with large vessel occlusion
Verf.angabe:Stefan Krebs, MD, Dominik Roth, MD, PhD, Michael Knoflach, MD, Michael Baubin, MD, MSc, Wilfried Lang, MD, Roland Beisteiner, MD, Jan Purrucker, MD, MSc, Sven Poli, MD, MSc & Marek Sykora, MD, PhD, MSc
E-Jahr:2021
Jahr:12 Jan 2021
Umfang:6 S.
Fussnoten:Gesehen am 22.03.2024
Titel Quelle:Enthalten in: Prehospital emergency care
Ort Quelle:Abingdon : Taylor & Francis Group, 1997
Jahr Quelle:2021
Band/Heft Quelle:25(2021), 6, Seite 790-795
ISSN Quelle:1545-0066
Abstract:Objectives: Prediction of large vessel occlusion (LVO) is highly relevant for accurate prehospital transportation triage. The Austrian Prehospital Stroke Scale (APSS) score for LVO prediction was developed using critical synthesis of previously published LVO-scores. The aim of this study was to investigate the accuracy of the APSS and compare it to other LVO-scores. Methods: APSS consists of 5 items: “facial palsy,” “motor arm,” “language,” “motor leg” and “gaze deviation.” The score ranges from 0 to 9 points. Data from 741 consecutive stroke patients with acute vessel imaging admitted to an independent comprehensive stroke center was used to test the predictive performance of the APSS in context of other LVO-scores (CPSS, FAST-ED, G-FAST, sNIHSS-EMS and RACE). Results: In the prediction of treatable LVO the APSS showed the highest area under the curve (0.834) with significant difference to CPSS (p = 0.010) and G-FAST (p = 0.006) and showed highest sensitivity (69%) as compared to other LVO scores. Specificity (85%), positive predictive value (75%), negative predictive value (81%) and accuracy (79%) were comparable to other LVO scores. Receiver operating curve analysis revealed an optimal cutoff for LVO prediction at APSS equal to 4 points. Conclusions: The easy assessable 5-item APSS score tended to outperform other LVO scores. Real-life prospective evaluation in prehospital setting is ongoing.
DOI:doi:10.1080/10903127.2020.1851329
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1080/10903127.2020.1851329
 DOI: https://doi.org/10.1080/10903127.2020.1851329
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:acute ischemic stroke
 FAST test
 LVO screen
 prehospital stroke care
K10plus-PPN:1884054609
Verknüpfungen:→ Zeitschrift

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