Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis
Introduction: A range of screening tools has been developed to assist emergency healthcare providers in rapidly and accurately diagnosing strokes. In this study, we investigated the diagnostic value of the Recognition of Stroke in the Emergency Room (ROSIER) scale in identifying individuals with st...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2023-10-01
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| Series: | Archives of Academic Emergency Medicine |
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| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2135 |
| _version_ | 1797659826221744128 |
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| author | Iman Chehregani Rad Amir Azimi |
| author_facet | Iman Chehregani Rad Amir Azimi |
| author_sort | Iman Chehregani Rad |
| collection | DOAJ |
| description |
Introduction: A range of screening tools has been developed to assist emergency healthcare providers in rapidly and accurately diagnosing strokes. In this study, we investigated the diagnostic value of the Recognition of Stroke in the Emergency Room (ROSIER) scale in identifying individuals with stroke and transient ischemic attack (TIA).
Methods: We conducted a systematic search across online databases of PubMed, Embase, Scopus, and Web of Science until June 12th, 2023, aiming to identify studies that assessed the diagnostic performance of the ROSIER scale in detecting strokes and TIAs among individuals with suspected stroke symptoms.
Results: Data extracted from 34 studies were analyzed, demonstrating that the ROSIER score, with a cut-off value of ≥ 1, has sensitivity of 0.89 (95% confidence interval (CI): 0.86–0.92), specificity of 0.76 (95% CI: 0.69–0.81), diagnostic odds ratio (DOR) of 25.41 (95% CI: 17.2–37.54), and area under the curve (AUC) of 0.91 (95% CI: 0.85–0.90) in detection of strokes and TIAs. Meta-regression subgroup analysis revealed variations in sensitivity and specificity based on different settings and assessors. Sensitivity was higher in pre-hospital settings when the test was administered by emergency medical services (EMS) and emergency department (ED) paramedic staff, whereas specificity was higher in emergency department settings and when physicians and neurologists conducted the test.
Conclusion: A moderate level of evidence shows that the ROSIER scale is considered an excellent tool for identifying strokes and TIAs. As a valid method for identifying strokes, it holds applicability across diverse settings and can be effectively used by assessors with different specialties.
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| first_indexed | 2024-03-11T18:20:51Z |
| format | Article |
| id | doaj.art-26405f444ab944b6a1aa52e2167e03fc |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-03-11T18:20:51Z |
| publishDate | 2023-10-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-26405f444ab944b6a1aa52e2167e03fc2023-10-15T10:22:06ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042023-10-0111110.22037/aaem.v11i1.2135Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-AnalysisIman Chehregani Rad 0Amir Azimi1Physiology Research Center, Iran University of Medical Sciences, Tehran, Iran.Rajaie Cardiovascular Medical and Research Center, Iran university of medical sciences, Tehran,Iran Introduction: A range of screening tools has been developed to assist emergency healthcare providers in rapidly and accurately diagnosing strokes. In this study, we investigated the diagnostic value of the Recognition of Stroke in the Emergency Room (ROSIER) scale in identifying individuals with stroke and transient ischemic attack (TIA). Methods: We conducted a systematic search across online databases of PubMed, Embase, Scopus, and Web of Science until June 12th, 2023, aiming to identify studies that assessed the diagnostic performance of the ROSIER scale in detecting strokes and TIAs among individuals with suspected stroke symptoms. Results: Data extracted from 34 studies were analyzed, demonstrating that the ROSIER score, with a cut-off value of ≥ 1, has sensitivity of 0.89 (95% confidence interval (CI): 0.86–0.92), specificity of 0.76 (95% CI: 0.69–0.81), diagnostic odds ratio (DOR) of 25.41 (95% CI: 17.2–37.54), and area under the curve (AUC) of 0.91 (95% CI: 0.85–0.90) in detection of strokes and TIAs. Meta-regression subgroup analysis revealed variations in sensitivity and specificity based on different settings and assessors. Sensitivity was higher in pre-hospital settings when the test was administered by emergency medical services (EMS) and emergency department (ED) paramedic staff, whereas specificity was higher in emergency department settings and when physicians and neurologists conducted the test. Conclusion: A moderate level of evidence shows that the ROSIER scale is considered an excellent tool for identifying strokes and TIAs. As a valid method for identifying strokes, it holds applicability across diverse settings and can be effectively used by assessors with different specialties. https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2135StrokeDiagnosisDiagnostic techniques and proceduresSystematic reviewMeta-analysis |
| spellingShingle | Iman Chehregani Rad Amir Azimi Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis Archives of Academic Emergency Medicine Stroke Diagnosis Diagnostic techniques and procedures Systematic review Meta-analysis |
| title | Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis |
| title_full | Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis |
| title_fullStr | Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis |
| title_full_unstemmed | Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis |
| title_short | Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis |
| title_sort | recognition of stroke in the emergency room rosier scale in identifying strokes and transient ischemic attacks tias a systematic review and meta analysis |
| topic | Stroke Diagnosis Diagnostic techniques and procedures Systematic review Meta-analysis |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/2135 |
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