Signs and Evidence

Making clinical sense of scientific data

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Beware of the limitations of this tool

Stroke

Anamnesis

1Aphasia - ever
2Hemiparesis - ever
3Unilateral paresthesia - ever


Clinical signs

4FAST test





Sources used:

1.Sung VW et al. Sensitivity and Specificity of Stroke Symptom Questions to Detect Stroke or Transient Ischemic Attack. Neuroepidemiology. 2011 Apr; 36(2): 100–104
2.Purrucker JC et al. Comparison of stroke recognition and stroke severity scores for stroke detection in a single cohort. J Neurol Neurosurg Psychiatry. 2015 Sep;86(9):1021-8
3.Whiteley WN et al. Clinical scores for the identification of stroke and transient ischaemic attack in the emergency department: a cross-sectional study Journal of Neurology, Neurosurgery & Psychiatry Published Online First: 14 March 2011
4.Berglund A et al. Face Arm Speech Time Test Use in the Prehospital Setting, Better in the Ambulance than in the Emergency Medical Communication Center. Cerebrovasc Dis. 2014 Feb 26;37(3):212-216
5.Nor AM et al. The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurology. 2005;4(11):727–734
6.London: Royal College of Physicians (UK); 2008. Stroke: National Clinical Guideline for Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack