改良CPSSS量表对急性前循环大血管闭塞性脑梗死的预测价值分析

目的 在辛辛那提院前卒中严重程度量表(Cincinnati prehospital stroke severity scale,CPSSS)基础上加入心房颤动项目构建改良CPSSS(modified CPSSS,mCPSSS),评估mCPSSS对急性前循环大血管闭塞(large vessel occlusion,LVO...

Analysis on the Predictive Value of Modified Cincinnati Prehospital Stroke Severity Scale for Acute Large Vessel Occlusion in Anterior Circulation

Objective To modify Cincinnati prehospital stroke severity scale (CPSSS) by adding atrial fibrillation (AF), and evaluate the predictive value of modified CPSSS (mCPSSS) for large vessel occlusion (LVO) in anterior circulation. Methods This retrospective analysis enrolled the patients with acute ischemic stroke in anterior circulation in Comprehensive Stroke Center, Yongchuan Hospital of Chongqing Medical University between May 2019 and April 2020. Univariate and multivariate logistic regression analysis were used to analyze the association of the items of CPSSS and AF with LVO, and the mCPSSS containing CPSSS and AF was formed. ROC curve and the area under the curve (AUC) were used to evaluate the predictive ability for LVO in anterior circulation of the mCPSSS, CPSSS and other stroke assessment scales such as vision, aphasia, neglect (VAN), 3 item stroke scale (3I-SS) andrapid arterial occlusion evaluation (RACE).