Diagnostic accuracy in non-comatose patients with or without moderate to severe premorbid disability
None to slight disability (pmRS 0–2; N=489) | Moderate to severe disability (pmRS 3–5; N=151) | |||
---|---|---|---|---|
Score | Sensitivity | Specificity | Sensitivity | Specificity |
Recognition scores | ||||
CPSS | 80 (72 to 86) | 81 (76 to 85) | 93 (80 to 98) | 31 (22 to 40) |
FAST | 81 (74 to 88) | 79 (74 to 83) | 95 (83 to 99) | 31 (22 to 40) |
LAPSS 1998 | 52 (43 to 60) | 98 (96 to 99) | 20 (10 to 36) | 95 (89 to 98) |
LAPSS 2000 | 57 (48 to 66) | 98 (96 to 99) | 23 (11 to 38) | 95 (89 to 98) |
MASS | 73 (65 to 81) | 94 (91 to 96) | 28 (15 to 44) | 93 (87 to 97) |
Med PACS | 71 (62 to 79) | 94 (91 to 96) | 73 (56 to 85) | 85 (77 to 91) |
ROSIER | 77 (69 to 84) | 89 (85 to 92) | 87 (73 to 96) | 49 (39 to 59) |
Severity scores | ||||
KPSS | 78 (70 to 85) | 73 (68 to 77) | 98 (87 to 100) | 19 (12 to 28) |
LAMS | 65 (56 to 73) | 90 (87 to 93) | 76 (60 to 88) | 52 (42 to 61) |
NIHSS | 87 (80 to 92) | 56 (51 to 61) | 100 (91 to 100) | 10 (05 to 17) |
sNIHSS-8 | 83 (75 to 89) | 79 (75 to 83) | 98 (87 to 100) | 29 (21 to 39) |
sNIHSS-5 | 78 (70 to 85) | 81 (76 to 85) | 98 (87 to 100) | 31 (22 to 40) |
CPSS, Cincinnati Prehospital Stroke Scale; FAST, Face Arm Speech Test; KPSS, Kurashiki Prehospital Stroke Scale; LAMS, Los Angeles Motor Scale; LAPSS, Los Angeles Prehospital Stroke Screen; MASS, Melbourne Ambulance Stroke Screen; Med PACS, Medic Prehospital Assessment for Code Stroke; pmRS, premorbid modified Rankin Scale; ROSIER, Recognition of Stroke in the Emergency Room score; sNIHSS-8/5, shortened National Institutes of Health Stroke Scale with 8 resp. 5 items.
Data are % (95% CI).