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If any one of the three tests shows abnormal findings, the patient may be having a stroke and should be transported to a hospital as soon as possible. The CPSS was derived from the National Institutes of Health Stroke Scale developed in 1997 at the University of Cincinnati Medical Center for prehospital use.
Cerebral infarction, also known as an ischemic stroke, is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). [1] In mid to high income countries, a stroke is the main reason for disability among people and the 2nd cause of death. [2]
Blood glucose between 60 and 400 mg/dL; Obvious asymmetry-unilateral weakness with any of the following motor exams: Facial Smile/Grimace; Grip; Arm Strength; If all of the above criteria are met (or not ascertainable) the LAPSS is positive for stroke. Patients may still be experiencing a stroke even if LAPSS criteria are not met. [2]
A simple blood test may be able to pick up on tell-tale signs of vascular problems in the brain, predicting stroke risk. Image credit: Douglas Sacha/Getty Images.
The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS), is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke and aid planning post-acute care disposition, though was intended to assess differences in interventions in clinical trials. The NIHSS was designed for the National ...
Approximately 17 million people had stroke in 2010 and 33 million people have previously had stroke and were still alive. [19] Between 1990 and 2010 the incidence of stroke decreased by approximately 10% in the developed world and increased by 10% in the developing world. [19] Overall, two-thirds of stroke occurred in those over 65 years old. [19]
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[14] [15] Coronary artery disease and stroke account for 80% of CVD deaths in males and 75% of CVD deaths in females. [3] Most cardiovascular disease affects older adults. In the United States 11% of people between 20 and 40 have CVD, while 37% between 40 and 60, 71% of people between 60 and 80, and 85% of people over 80 have CVD. [2]