Prehospital stroke scale (FAST PLUS Test) predicts patients with intracranial large vessel occlusion

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F18%3AA1901Z6A" target="_blank" >RIV/61988987:17110/18:A1901Z6A - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/18:00104208 RIV/00843989:_____/18:E0107240 RIV/00159816:_____/18:00069259

Result on the web

<a href="http://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=AuthorFinder&qid=23&SID=D13SSqgZZvWdLAysw83&page=1&doc=10" target="_blank" >http://apps.webofknowledge.com/full_record.do?product=WOS&search_mode=AuthorFinder&qid=23&SID=D13SSqgZZvWdLAysw83&page=1&doc=10</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1002/brb3.1087" target="_blank" >10.1002/brb3.1087</a>

Result language

angličtina

Original language name

Prehospital stroke scale (FAST PLUS Test) predicts patients with intracranial large vessel occlusion

Original language description

Background and Purpose: Mechanical thrombectomy (MT) is indicated for the treatment of large vessel occlusion (LVO) stroke. MT should be provided as quickly as possible; therefore, a test identifying suspected LVO in the prehospitalization stage is needed to ensure direct transport to a comprehensive stroke center (CSC). We assume that patients with clinically severe hemiparesis have a high probability of LVO stroke. We modified the FAST test into the FAST PLUS test: The first part is the FAST test and the second part evaluates the presence of severe arm or leg motor deficit. This prospective multicenter study evaluates the specificity and sensitivity of the FAST PLUS test in detecting LVO stroke. Methods: Paramedics were trained through e-learning to conduct the FAST PLUS test. All prehospital suspected stroke patients who were administered the FAST PLUS test were included. Demographics, National Institutes of Health Stroke Scale (NIHSS) score, brain computed tomography (CT), and CT angiography (CTA) were recorded. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and receiver operating curve (ROC) area for LVO were calculated. Results: The study included 435 patients. LVO were found in 124 patients (28%). Sensitivity was 93%, specificity was 47%, PPV was 41%, NPV was 94%, and ROC area for ICA/MCA occlusion was 0.65. Intracerebral hemorrhage (ICH) was identified in 48 patients (11%). Conclusion: We found that the FAST PLUS test had a high sensitivity for LVO stroke. Of the 435 patients, 41% were all directly transported to a CSC based on positive FAST PLUS test scores and were potential candidates for MT.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30103 - Neurosciences (including psychophysiology)

Project

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Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Brain and Behavior

ISSN

2162-3279

e-ISSN

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Volume of the periodical

8

Issue of the periodical within the volume

9

Country of publishing house

US - UNITED STATES

Number of pages

7

Pages from-to

1-7

UT code for WoS article

000445850000019

EID of the result in the Scopus database

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