The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia
Background and Purpose: Our aim was to confirm the clinical relationship between the Kurashiki Prehospital Stroke Scale (KPSS) scored by paramedics and favorable outcomes in patients with modified Rankin scale (mRS) scores of 0–1 assessed 3 months after symptom onset. Methods: We enrolled patients w...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2011-04-01
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| Series: | Cerebrovascular Diseases Extra |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/327154 |
| _version_ | 1818118119892189184 |
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| author | Yasuyuki Iguchi Kazumi Kimura Kensaku Shibazaki Yuki Sakamoto Kenichiro Sakai Shuichi Fujii Junichi Uemura |
| author_facet | Yasuyuki Iguchi Kazumi Kimura Kensaku Shibazaki Yuki Sakamoto Kenichiro Sakai Shuichi Fujii Junichi Uemura |
| author_sort | Yasuyuki Iguchi |
| collection | DOAJ |
| description | Background and Purpose: Our aim was to confirm the clinical relationship between the Kurashiki Prehospital Stroke Scale (KPSS) scored by paramedics and favorable outcomes in patients with modified Rankin scale (mRS) scores of 0–1 assessed 3 months after symptom onset. Methods: We enrolled patients with acute stroke and transient ischemic attack showing symptoms on admission. Paramedics transferred patients to our hospital after estimating stroke severity using the KPSS. After categorizing patients into either the mRS 0–1 group (favorable outcome) or the mRS 2–6 group (no favorable outcome), we compared the background data between the two groups. We assessed KPSS scores predictive of a favorable outcome. Multivariate regression modeling was conducted to identify factors independently associated with a favorable outcome. Results: The study cohort comprised 147 patients with a premorbid status of mRS 0–1: 69 patients (47%) of them were in the mRS 0–1 group and 78 (53%) in the mRS 2–6 group at the follow-up 3 months after symptom onset. The median KPSS score was lower in the mRS 0–1 group than in the mRS 2–6 group (1 vs. 4, p Conclusion: KPSS score <3 apparently presents a reasonable cutoff for predicting a favorable outcome in patients with acute cerebral ischemia. |
| first_indexed | 2024-12-11T04:49:15Z |
| format | Article |
| id | doaj.art-b4b67c28979c4ce4aee4a42e1363c0c8 |
| institution | Directory Open Access Journal |
| issn | 1664-5456 |
| language | English |
| last_indexed | 2024-12-11T04:49:15Z |
| publishDate | 2011-04-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Cerebrovascular Diseases Extra |
| spelling | doaj.art-b4b67c28979c4ce4aee4a42e1363c0c82022-12-22T01:20:26ZengKarger PublishersCerebrovascular Diseases Extra1664-54562011-04-0111283510.1159/000327154327154The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral IschemiaYasuyuki IguchiKazumi KimuraKensaku ShibazakiYuki SakamotoKenichiro SakaiShuichi FujiiJunichi UemuraBackground and Purpose: Our aim was to confirm the clinical relationship between the Kurashiki Prehospital Stroke Scale (KPSS) scored by paramedics and favorable outcomes in patients with modified Rankin scale (mRS) scores of 0–1 assessed 3 months after symptom onset. Methods: We enrolled patients with acute stroke and transient ischemic attack showing symptoms on admission. Paramedics transferred patients to our hospital after estimating stroke severity using the KPSS. After categorizing patients into either the mRS 0–1 group (favorable outcome) or the mRS 2–6 group (no favorable outcome), we compared the background data between the two groups. We assessed KPSS scores predictive of a favorable outcome. Multivariate regression modeling was conducted to identify factors independently associated with a favorable outcome. Results: The study cohort comprised 147 patients with a premorbid status of mRS 0–1: 69 patients (47%) of them were in the mRS 0–1 group and 78 (53%) in the mRS 2–6 group at the follow-up 3 months after symptom onset. The median KPSS score was lower in the mRS 0–1 group than in the mRS 2–6 group (1 vs. 4, p Conclusion: KPSS score <3 apparently presents a reasonable cutoff for predicting a favorable outcome in patients with acute cerebral ischemia.http://www.karger.com/Article/FullText/327154Acute stroke outcomeEmergency careKurashiki Prehospital Stroke ScalePrehospital stroke careThrombolysis |
| spellingShingle | Yasuyuki Iguchi Kazumi Kimura Kensaku Shibazaki Yuki Sakamoto Kenichiro Sakai Shuichi Fujii Junichi Uemura The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia Cerebrovascular Diseases Extra Acute stroke outcome Emergency care Kurashiki Prehospital Stroke Scale Prehospital stroke care Thrombolysis |
| title | The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia |
| title_full | The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia |
| title_fullStr | The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia |
| title_full_unstemmed | The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia |
| title_short | The Kurashiki Prehospital Stroke Scale Is a Prehospital Scale That Can Predict Long-Term Outcome of Patients with Acute Cerebral Ischemia |
| title_sort | kurashiki prehospital stroke scale is a prehospital scale that can predict long term outcome of patients with acute cerebral ischemia |
| topic | Acute stroke outcome Emergency care Kurashiki Prehospital Stroke Scale Prehospital stroke care Thrombolysis |
| url | http://www.karger.com/Article/FullText/327154 |
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