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The validity of recognition of stroke in the emergency room (ROSIER) scale in the diagnosis of Iranian patients with acute ischemic stroke in the emergency department.

Authors :
Zangi M
Karimi S
Mirbaha S
Sotoodehnia M
Rasooli F
Baratloo A
Source :
Turkish journal of emergency medicine [Turk J Emerg Med] 2020 Dec 01; Vol. 21 (1), pp. 1-5. Date of Electronic Publication: 2020 Dec 01 (Print Publication: 2021).
Publication Year :
2020

Abstract

Objectives: In this study, we aimed to investigate the accuracy of recognition of stroke in the Emergency Room (ROSIER) Scale in the diagnosis of patients with acute ischemic stroke (AIS) transferred to the emergency department (ED).<br />Methods: The present study was a multicenter study. Records from patients suspected of stroke, who referred to the ED were reviewed. Demographic, clinical, and diagnostic data were extracted and then entered in checklists. ROSIER Scale was used to evaluate the possible diagnosis in this study. The definitive diagnosis of a stroke was made based on neurologist's assessment and clinical and neuroimaging findings, mainly brain magnetic resonance imaging (MRI). Receiver operating characteristic (ROC) curve analysis was conducted for assessing the accuracy of ROSIER in discrimination of stroke.<br />Results: The data of 356 suspected stroke patients were analyzed. Of all, 186 patients (52.2%) were male, and the mean age was 65.2 (standard deviation = 14.0) years ranging from 26 to 95 years. One hundred and fifty-one patients (42.4%) had AIS based on the final diagnosis. The area under the ROC curve was 0.85. The best cutoff point for ROSIER scale was ≥1 with a sensitivity of 85.4% (95% confidence interval [CI]: 78.8, 90.6%) and specificity of 65.8% (95% CI: 58.9, 72.3%).<br />Conclusion: Based on the findings, although the best cutoff point was the same as the original (derivation) study, its sensitivity (85.4% vs. 92%) and specificity (65.8% vs. 86%) were considerably lower.<br />Competing Interests: Conflicts of interest None Declared.<br /> (Copyright: © 2021 Turkish Journal of Emergency Medicine.)

Details

Language :
English
ISSN :
2452-2473
Volume :
21
Issue :
1
Database :
MEDLINE
Journal :
Turkish journal of emergency medicine
Publication Type :
Academic Journal
Accession number :
33575508
Full Text :
https://doi.org/10.4103/2452-2473.301914