Comparison of Siriraj Stroke Score with Computed Tomography to Differentiate Acute Embolic and Hemorrhagic Stroke in a Tertiary Care-Teaching Center
Autor: | Karthik Narayan Padmanabhan, Melvin Dominic, Hari HaraSudhan Chidambaram, Chandrasekaran Vp, Ram Kirubakarthangaraj Rajkumar, Syed Abthhir Sirajudeen |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Eurasian Journal of Emergency Medicine, Vol 21, Iss 1, Pp 62-67 (2022) |
Druh dokumentu: | article |
ISSN: | 2149-5807 2149-6048 |
DOI: | 10.4274/eajem.galenos.2021.26576 |
Popis: | Aim:The study aimed to compare Siriraj Stroke Score (SSS) with computed tomography (CT) in differentiating stroke subtypes.Materials and Methods:This cross-sectional study consists of eighty consecutive patients admitted to the emergency department of the tertiary care-teaching center within four hours of the onset of stroke. A single experienced emergency medicine physician observed the patients for Siriraj score. An independent radiologist analyzed the CT of the patients who were not aware of the clinical condition. CT findings were considered the gold standard. Siriraj score findings were considered as a screening test. The sensitivity, specificity, predictive values, and diagnostic accuracy of the screening test, along with their 95% confidence interval (CI), were presented.Results:A total of 80 subjects were included in the study. The mean age of the participants was 56.4 years, with the majority being males (58.8%). The sensitivity and specificity for SSS were 96.92% and 90.91%, respectively. The SSS had excellent predictive validity in predicting CT findings, as indicated by the area under the curve of 0.994 (95% CI 0.983 to 1.000, p value |
Databáze: | Directory of Open Access Journals |
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