摘要
目的:探讨急诊脑卒中识别评分量表(ROSIER)在院前急救筛选中的应用价值。方法:收集2013年1月至2014年1月期间,我院急诊科收治的可疑脑卒中病例114例,在院前急救中应用ROSIER量表筛查,并以辛辛那提院前脑卒中识别评分量表(CPSS)作为对照,以头颅CT或MRI检查、神经专科医师意见作为最终诊断,比较ROSIER与CPSS的对于脑卒中的筛选价值。结果:ROSIER对脑卒中的特异度、阳性似然比依次为83.67%、4.80,均显著高于CPSS的67.35%、2.36(P<0.05);假阳性为16.33%,显著低于CPSS的32.65%;ROSIER的Kappa值为0.621,显著高于CPSS的0.462,差异具有统计学意义(P<0.05);两组的敏感度、假阴性率及阴性拟然比无明显差异(P>0.05)。结论:ROSIER应用于脑卒中筛查具有较高的敏感度和特异度,对于脑卒中的院前筛查以及院前急救具有重要指导意义。
Objective： To investigate the value of the recognition of stroke in the emergency room scal （ROSIER） in pre-hospital emergency. Methods： 114 cases of suspicious stroke patients admitted to the emergency department of our hospital between January 2013 and January 2014 were collected, all received ROSIER scale screening in pre-hospital emergency, and compared with the Cincinnati Ire-hospital Stroke Scale （CPSS）. The value of ROSIER and CPSS in pre-hospital emergency was compared. Results： The specificity and positive likelihood ratio of ROSIER were 83.67%, 4.80, all significantly higher than the 67.35%, 2.36 of CPSS （P〈0.05）; the false positive, of ROSIER was 16.33%, significantly lower than the 32.65% of CPSS （P〈0.05）; the Kappa value of ROSIER was 0.621, significantly higher than 0.462 of CPSS, there was a significant difference （P〈0.05）; the sensitivity, the false negative rate and negative likelihood ratio of the two groups, was no significant difference （P〉0.05）. Conclusions： ROSIER applied in stroke screening has high sensitivity and specificity, has important value for pre-hospital screening and pre-hospital emergency of stroke.
出处
《现代生物医学进展》
CAS
2015年第19期3657-3659,3667,共4页
Progress in Modern Biomedicine
基金
国家自然科学基金项目(30972894)
关键词
脑卒中
院前急救
急诊脑卒中识别评分量表
Stroke
Pre-hospital emergency
Recognition of stroke in the emergency room scale
