Yıl: 2021 Cilt: 20 Sayı: 2 Sayfa Aralığı: 113 - 119 Metin Dili: İngilizce DOI: 10.4274/eajem.galenos.2021.38278 İndeks Tarihi: 17-11-2021

Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients

Öz:
Aim: Acute stroke is one of the most common and debilitating diseases. Rapid diagnostic measures undertaken upon hospital admission and reduction of the treatment duration will increase access to treatment. The purpose of this study is to examine the accuracy of Field Assessment Stroke Triage for Emergency Destination (FAST-ED) in terms of stroke diagnosis.Materials and Methods: This prospective diagnostic accuracy study was conducted between March 2019 and January 2020. All adult patients transferred to the ED and suspected of having an acute ischemic stroke who had undergone brain magnetic resonance imaging (MRI) were eligible for inclusion. After data collection, receiver operating characteristic curve analysis was performed, and sensitivity, specificity, positive predictive value, and negative predictive value of FAST-ED were calculated and compared with those of the National Institute of Health Stroke Scale (NIHSS) scale.Results: A total of 314 patients who had received MRI within the first 24 hours of symptom onset were included in this study. The mean age was 67.95±13.11 years, and 184 patients (58.60%) were male. Of all patients with suspicion of ischemic stroke, 274 (87.26%) were diagnosed on the basis of the gold standard. The best predictor of stroke in FAST-ED, with a sensitivity of 0.880 and specificity of 0.575, was a cut-off point of 2 (area under the curve: 0.836). The distribution of all FAST-ED symptoms was significant in the stroke and non-stroke groups, with the exception of “Eye deviation.”Conclusion: The FAST-ED scale is relatively simple and has a comparable ability to recognize AIS to that of the more complex NIHSS.
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  • 1. Loudon W, Wong A, Disney M, Tippett V. Validated pre-hospital stroke scales to predict large vessel occlusion: a systematic review. Australas J Paramedicine. 2019;16.
  • 2. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart Disease and Stroke Statistics-2018 Update: A Report From the American Heart Association. Circulation. 2018;137:67-492.
  • 3. Liberman AL, Prabhakaran S. Stroke chameleons and stroke mimics in the emergency department. Curr Neurol Neurosci Rep. 2017;17:15.
  • 4. Yew KS, Cheng E. Acute stroke diagnosis. Am Fam Physician. 2009;80:33-40.
  • 5. Smith EE, Kent DM, Bulsara KR, Leung LY, Lichtman JH, Reeves MJ, et al. Accuracy of prediction instruments for diagnosing large vessel occlusion in individuals with suspected stroke: a systematic review for the 2018 guidelines for the early management of patients with acute ischemic stroke. Stroke. 2018;49:111-22.
  • 6. Ollikainen JP, Janhunen HV, Tynkkynen JA, Mattila KM, Hälinen MM, Oksala NK, et al. The Finnish Prehospital Stroke Scale Detects thrombectomy and thrombolysis candidates-a propensity score-matched study. J Stroke Cerebrovasc Dis. 2018;27:771-7.
  • 7. Venema E, Duvekot MHC, Lingsma HF, Rozeman AD, Moudrous W, Vermeij FH, et al. Prehospital triage of patients with suspected stroke symptoms (PRESTO): protocol of a prospective observational study. BMJ Open. 2019;9:e028810.
  • 8. Li S, Wang A, Zhang X, Wang Y. Design and validation of prehospital acute stroke triage (PAST) scale to predict large vessel occlusion. Atherosclerosis. 2020;306:1-5.
  • 9. Antipova D, Eadie L, Macaden A, Wilson P. Diagnostic accuracy of clinical tools for assessment of acute stroke: a systematic review. BMC Emerg Med. 2019;19:49.
  • 10. Andsberg G, Esbjörnsson M, Olofsson A, Lindgren A, Norrving B, von Euler M. PreHospital Ambulance Stroke Test - pilot study of a novel stroke test. Scand J Trauma Resusc Emerg Med. 2017;25:37.
  • 11. Lima FO, Silva GS, Furie KL, Frankel MR, Lev MH, Camargo ÉC, et al. Field Assessment Stroke Triage for emergency destination: a simple and accurate prehospital scale to detect large vessel occlusion strokes. Stroke. 2016;47:1997-2002.
  • 12. Carr K, Yang Y, Roach A, Shivashankar R, Pasquale D, Serulle Y. Mechanical revascularization in the era of the field assessment stroke triage for emergency destination (FAST-ED): a retrospective cohort assessment in a community stroke practice. J Stroke Cerebrovasc Dis. 2020;29:104472.
APA ESFAHANI M, Heydari F, Izadi-Dastgerdi E, Fereidouni golsefidi A, Noorshargh P (2021). Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. , 113 - 119. 10.4274/eajem.galenos.2021.38278
Chicago ESFAHANI Mohammad NASR,Heydari Farhad,Izadi-Dastgerdi Elham,Fereidouni golsefidi Azade,Noorshargh Pegah Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. (2021): 113 - 119. 10.4274/eajem.galenos.2021.38278
MLA ESFAHANI Mohammad NASR,Heydari Farhad,Izadi-Dastgerdi Elham,Fereidouni golsefidi Azade,Noorshargh Pegah Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. , 2021, ss.113 - 119. 10.4274/eajem.galenos.2021.38278
AMA ESFAHANI M,Heydari F,Izadi-Dastgerdi E,Fereidouni golsefidi A,Noorshargh P Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. . 2021; 113 - 119. 10.4274/eajem.galenos.2021.38278
Vancouver ESFAHANI M,Heydari F,Izadi-Dastgerdi E,Fereidouni golsefidi A,Noorshargh P Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. . 2021; 113 - 119. 10.4274/eajem.galenos.2021.38278
IEEE ESFAHANI M,Heydari F,Izadi-Dastgerdi E,Fereidouni golsefidi A,Noorshargh P "Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients." , ss.113 - 119, 2021. 10.4274/eajem.galenos.2021.38278
ISNAD ESFAHANI, Mohammad NASR vd. "Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients". (2021), 113-119. https://doi.org/10.4274/eajem.galenos.2021.38278
APA ESFAHANI M, Heydari F, Izadi-Dastgerdi E, Fereidouni golsefidi A, Noorshargh P (2021). Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. Eurasian Journal of Emergency Medicine, 20(2), 113 - 119. 10.4274/eajem.galenos.2021.38278
Chicago ESFAHANI Mohammad NASR,Heydari Farhad,Izadi-Dastgerdi Elham,Fereidouni golsefidi Azade,Noorshargh Pegah Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. Eurasian Journal of Emergency Medicine 20, no.2 (2021): 113 - 119. 10.4274/eajem.galenos.2021.38278
MLA ESFAHANI Mohammad NASR,Heydari Farhad,Izadi-Dastgerdi Elham,Fereidouni golsefidi Azade,Noorshargh Pegah Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. Eurasian Journal of Emergency Medicine, vol.20, no.2, 2021, ss.113 - 119. 10.4274/eajem.galenos.2021.38278
AMA ESFAHANI M,Heydari F,Izadi-Dastgerdi E,Fereidouni golsefidi A,Noorshargh P Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. Eurasian Journal of Emergency Medicine. 2021; 20(2): 113 - 119. 10.4274/eajem.galenos.2021.38278
Vancouver ESFAHANI M,Heydari F,Izadi-Dastgerdi E,Fereidouni golsefidi A,Noorshargh P Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients. Eurasian Journal of Emergency Medicine. 2021; 20(2): 113 - 119. 10.4274/eajem.galenos.2021.38278
IEEE ESFAHANI M,Heydari F,Izadi-Dastgerdi E,Fereidouni golsefidi A,Noorshargh P "Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients." Eurasian Journal of Emergency Medicine, 20, ss.113 - 119, 2021. 10.4274/eajem.galenos.2021.38278
ISNAD ESFAHANI, Mohammad NASR vd. "Accuracy of Field Assessment Stroke Triage for EmergencyDestination for Diagnosis of Acute Ischemic Stroke Patients". Eurasian Journal of Emergency Medicine 20/2 (2021), 113-119. https://doi.org/10.4274/eajem.galenos.2021.38278