Comparison of Siriraj Stroke Score with Computerized Tomography in Establishing the Type of the Stroke among Pakistani Population
Qaiser Jamal 1, Attiya Sabeen Rahman 1, Salma Razzaque 2, Muhammad A Siddiqui 3 * , Jamal Ara 1, Aneela Altaf 1
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1 Department of Medicine, Karachi Medical and Dental College and Abbasi Shaheed Hospital, Karachi
2 Department of Medicine, Jinnah Medical and Dental College, Karachi
3 School of Health Sciences, Queen Margaret University, Edinburgh
* Corresponding Author

Abstract

Computed Tomography (CT) Scan is an accurate and a routinely done imaging technique to diagnose and differentiate haemorrhagic and ischaemic stroke. Siriraj Stroke Score (SSS) is weighted clinical score and European recognized for clinical and bedside differentiation between ischemic and haemorrhagic stroke. 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. Total 152 patients were included in the study. Out of which 39.5% were male. Overall, mean age was 59.28±11.91, 56.32 ±12.69 in haemorrhagic group and 62.32±10.28 in non-haemorrhagic group. Sensitivity, specificity, PPV, and NPV of SSS for haemorrhagic stroke was 71.4%, 81.3%, 79.7% and 73.5% respectively. Overall accuracy for haemorrhagic stroke was found to be 76.3%. SSS had higher sensitivity for haemorrhagic stroke and is more sensitive in Asian population, but still not accurate enough to replace CT scan as investigation of choice but can plays a role to avoid delay in the management where CT scan is delayed or not available.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Original Article

https://doi.org/10.15197/ejgm.01347

Eur J Gen Med, 2015 - Volume 12 Issue 3, pp. 234-238

Publication date: 15 Jul 2015

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