Validation of the use of the ROSIER stroke recognition instrument in an Irish emergency department

被引：16

作者：

Jackson, A. ^{[1
]}

Deasy, C. ^{[2
]}

Geary, U. M. ^{[2
]}

Plunkett, P. K. ^{[2
]}

Harbison, J. ^{[1
]}

机构：

[1] St James Hosp, Dept Med Gerontol, Stroke Serv, Trinity Ctr Hlth Sci, Dublin 8, Ireland

[2] St James Hosp, Dept Emergency Med, Dublin 8, Ireland

来源：

IRISH JOURNAL OF MEDICAL SCIENCE | 2008年 / 177卷 / 03期

关键词：

stroke; emergency department; diagnostic instrument;

D O I：

10.1007/s11845-008-0159-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background A study was performed to determine the utility of the 8-point recognition of stroke in the emergency room (ROSIER) instrument as a diagnostic tool in a large Irish emergency department. Methods Fifty patients had ROSIER scores completed by doctors. Diagnoses achieved using the score were compared with discharge diagnoses. Relations between ROSIER score, impairment and length of stay were assessed. Results Forty-seven patients (94%) had a ROSIER Score >= 1 indicating a stroke, 44 (94%) of these had stroke confirmed on investigation. Two patients with stroke were missed and three were wrongly identified. Positive predictive value for the ROSIER was 94%. ROSIER correlated with Scandinavian neurological stroke score. (r = -0.414, p = 0.003) and was associated with increasing length of stay in survivors (p = 0.16, one-way ANOVA. F = 3.116, df = 6). Conclusion The ROSIER is a suitable and useful adjunct in the assessment of stroke patients in Ireland.

引用

页码：189 / 192

页数：4

共 5 条

[1] Diagnostic accuracy of stroke referrals from primary care, emergency room physicians, and ambulance staff using the face arm speech test [J].

Harbison, J ;

Hossain, O ;

Jenkinson, D ;

Davis, J ;

Louw, SJ ;

Ford, GA .

STROKE, 2003, 34 (01) :71-76

[2]

*INT STROK WORK PA, 2004, NAT CLIN GUID STROK

[3] A systematic review of barriers to delivery of thrombolysis for acute stroke [J].

Kwan, J ;

Hand, P ;

Sandercock, P .

AGE AND AGEING, 2004, 33 (02) :116-121

[4] Therapy of basilar artery occlusion - A systematic analysis comparing intra-arterial and intravenous thrombolysis [J].

Lindsberg, PJ ;

Mattle, HP .

STROKE, 2006, 37 (03) :922-928

[5] The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument [J].

Nor, AM ;

Davis, J ;

Sen, B ;

Shipsey, D ;

Louw, SJ ;

Dyker, AG ;

Davis, M ;

Ford, GA .

LANCET NEUROLOGY, 2005, 4 (11) :727-734

← 1 →