The guy hospital score has been validated with data from the oxfordshire community stroke project ocsp 15 and at the national hospital for nervous disease, london, 12 whereas the clinical score by besson was validated in the university hospital grenoble, france. Pdf validation of siriraj stroke score in southeast nigeria. The aim of the study is to validate the use of siriraj stroke score sss in the diagnosis of acute hemorrhagic and acute ischemic. Stroke score sss sudah digunakan di negara thailand, nigeria, taiwan, dan malaysia dalam menentukan stroke haemoragik atau stroke iskemik poungvarin dkk, 1991.
Frequency and percentages were calculated for qualitative variables like gender, true positives and true. Full text validation of siriraj stroke score in southeast nigeria ijgm. Tuesday stroke round stroke core lecture stroke workshop 5th year medical student. The patient with brainstem stroke who has bilateral loss of sensation is scored 2.
This distinction is necessary in the acute management of stroke patients. Nevertheless, these instruments cannot replace ct scan as the gold standard of stroke diagnosis. Out of 31 cases of cerebral haemorrhage on ct scan, the ass correctly diagnosed cerebral haemorrhage in 12 cases, with 6 cases misdiagnosed as cerebral infarction. Accuracy of clinical stroke scores for distinguishing stroke subtypes. To compare greek stroke score with available previous two stroke scores for the diagnosis of cerebral ischemia and hemorrhage in acute stroke patients. Validation of siriraj stroke score in southeast nigeria. Unduh sebagai doc, pdf, txt atau baca online dari scribd. Full text get a printable copy pdf file of the complete article 628k, or click on a page image below to browse page by page. A score above 1 indicates s u p r a t e n t o r i a l i n t r a c e r e b r a l haemorrhage, while a score below 1 indicates infarction. To determine the accuracy of the siriraj stroke score in distinguishing ischaemic from haemorrhagic stroke in a cohort of chinese patients.
Neither the siriraj subsaharan africa nor guys hospital score was accurate or offered much advantage over clinician assessment sensitivity 0. Stroke, acute stroke, brain ischemia, cerebral hemorrhage, cerebral infarction, siriraj stroke score, clinical. A prospective study in stroke pati ents at siriraj hospital usapan surabenjawong md, weeraphon sonmeethong md, tanyaporn nakornchai md department of emergency medicine, faculty of medicine siriraj. Full text get a printable copy pdf file of the complete article 628k, or click on a. Siriraj stroke score distinguishes supratentorial intracerebral hemorrhage from infarction. Untuk membedakan jenis atau penyebab stroke bisa menggunakan algoritma stroke gadjah mada asgm dan penilaian skor siriraj. In developing the siriraj stroke score stepwise discriminant analysis of the variables was followed by a linear. Upon admission to hospital variables were recorded. Siriraj stroke score and validation study to distinguish. Kathiravan declare that i carried out this work on a comparative study of siriraj and greek score in differentiating acute ischemic stroke from hemorrhagic stroke at department of medicine, government kilpauk medical college. Computed tomography ct scan is an accurate, safe, noninvasive procedure routinely used as an investigative tool for stroke to distinguish between infarc. Score, besson stroke score dan algoritma stroke gadjah mada untuk mengidentifikasi pasien stroke fase akut, dimana siriraj stroke score merupakan scoring stroke yang paling sederhana, murah dan mudah dilakukan namun tetap diperlukan pemeriksaan ctscan kepala untuk diagnosis pasti stroke.
Validation of siriraj score among stroke patients in a. Objectif the siriraj stroke score sss was evaluated in siriraj hospital, bangkok, and the western infirmary, glasgow, and needs to be validated in an african setting. Sensitivity, specificity, positive predictive value and negative predictive value for cerebral hemorrhage was 0. If the patient does not respond and is quadriplegic. Record performance in each category after each subscale exam. To compare and validate allen stroke score ass and siriraj stroke scores sss in differentiating acute cerebral hemorrhage ch and cerebral infarction ci study included 100 patients of acute ishemic or hemorrhagic stroke confirmed. Mean and standard deviation were calculated for quantitative variables like age and siriraj stroke score. The score between 1 and 1 represents an equivocal result needing a computerised brain scan or probability curve to verify the diagnosis. The alberta stroke program early ct score aspects determines middle cerebral arterial mca stroke severity using available computed tomography data. The siriraj stroke score was proposed with the ambition to differentiate between hs and is in supratentorial stroke syndromes e. Development of a clinical decision support system for.
The guys hospital score had a sensitivity and a specificity of 94. Stuporous and aphasic patients will, therefore, probably score 1 or 0. Overall accuracy of the siriraj stroke score in diagnosing pathological types of stroke is 73,08%. International journal of science and research ijsr is published as a monthly journal with 12 issues per year. To compare the effectiveness of the siriraj stroke score and the guys hospital score for differentiating the ischaemic from the haemorrhagic strokes. Pdf siriraj stroke score pdf ashraf putra academia. Comparison of siriraj stroke score with computerized. Validation of siriraj stroke score in southeast nigeria innocent ijezie chukwuonye,1 kenneth arinze ohagwu,2 enoch ogbonnaya uche,3,4 abali chuku,5 rowland ihezuo nwanke,2 christopher chukwuemeka ohagwu,6 ignatius u ezeani,7 collins ogbonna nwabuko,8 martin anazodo nnoli,9 efosa oviasu,4,10 okechukwu samuel ogah4,11 1division of nephrology, 2division of. It is the dedication of healthcare workers that will lead us. This study aimed to establish the accuracy of sss in the bedside diagnosis of cerebral haemorrhage in comparison with ct scan to avoid delay in treatment. Validation study of the siriraj stroke score in african.
Pdf greek stroke score, siriraj score and allen score in. Pdf accuracy of bedside diagnosis versus allen and. Accuracy of the siriraj and guys hospital stroke scores. The aim of the study is to validate the use of siriraj stroke score sss in the diagnosis of acute hemorrhagic and acute ischemic stroke in southeast nigeria. This was a prospective study on validity of sss in the diagnosis of stroke types in southeast nigeria. Of the total 464 patients, the incidence of hemorrhagic stroke was 27. Algoritma gajah mada dan skor siriraj safura akht rifa. Diagnosis yang benar dalam membedakan jenis stroke sangat diperlukan karena perbedaan tatalaksana. Indian journal of medical sciences bioline international. Penggunaan siriraj score pada diagnosis pasien stroke.
In the validation study of the siriraj stroke score the d i a g n o s. Spss version was used to enter and analyze the data. Greek stroke score, siriraj score and allen score in clinical diagnosis of intracerebral hemorrhage and infarct. The investigator must choos response, even if a full evaluation is prevented. The siriraj score include five variables which were found to differ significantly between is patients and hs patients.
This was a prospective study on validity of sss in the diagnosis of stroke types in southeast. Stroke secara umum diklasifikasikan menjadi stroke iskemik dan hemoragik. Gold standard dalam mendiagnosis stroke adalah dengan ct scan namun tidak semua layanan kesehatan memiliki fasilitias ini. Accuracy of the siriraj stroke score in differentiating. Pada asgm hal yang dinilai adalah penurunan kesadaran, nyeri kepala dan reflek babinski. The siriraj stroke score and guys hospital stroke score are not sufficiently accurate for use in either epidemiologic studies or to guide clinical management in subsaharan africa at present. The nih stroke scalescore nihss quantifies stroke severity based on weighted evaluation findings. Conclusionthe siriraj stroke score is widely accepted and applied in hospitals throughout thailand as a simple and reliable bedside method for diagnosing acute stroke.
Algoritma stroke gadjah mada asgm dan siriraj stroke score sss merupakan instrumen. Notably, it is a referred, highly indexed, online international journal with high impact factor. Siriraj stroke score with ct scan results was the end point of the study. Validation of siriraj stroke score in southeast nigeria ijgm. Siriraj stroke score and validation study to distinguish supratentorial intracerebral haemorrhage from infarction niphon poungvarin, adulya viriyavejakul, chulaluk komontri department of medicine, faculty of medicine, siriraj hospital, mahidol university, bangkok 10700, thailand niphon poungvarin, frcp, associate professor of neurology. The following terms were used to generate a search. The sensitivity, specificity, positive and negative predictive values of this score were. Alberta stroke program early ct score aspects mdcalc. The most commonly used ones include the guys hospital score ghss,6 the besson score,12 the greek stroke score and the siriraj stroke score sss. Computed tomography ct scan is an accurate and a routinely done imaging technique to diagnose and differentiate haemorrhagic and ischaemic stroke. Comparison of the siriraj stroke score and the guys.
Lack of clinical utility of the siriraj stroke score hui. This study concluded that the siriraj stroke scores than head ct scan has a pretty good validity in diagnosing stroke cerebral infarction, whereas in the diagnosis of intracerebral haemorrhagic stroke has a validity score poorly. Accuracy of bedside diagnosis versus allen and siriraj stroke scores in turkish patients. Stroke, algoritma stroke gadjah mada asgm, siriraj stroke score sss, sensitivity, specificity, positive predictive value.
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