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With correction for the 4 documentation errors, positive predictive value increased to 97% (95% CI, 84% to 99%)." [3] In a Chinese study, Beijing paramedics using the protocol, completed LAPSS screenings in an average of 4.3±3.0 minutes (median, 5 minutes). The study resulted in a sensitivity of 78.44% and a specificity of 90.22%. [4]
Prior to the NIHSS, during the late 1980s, several stroke-deficit rating scales were in use (e.g., University of Cincinnati scale, Canadian neurological scale, the Edinburgh-2 coma scale, and the Oxbury initial severity scale). The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4.
The Cincinnati Prehospital Stroke Scale (abbreviated CPSS) is a system used to diagnose a potential stroke in a prehospital setting. [1] It tests three signs for abnormal findings which may indicate that the patient is having a stroke.
The scale was originally introduced in 1957 by Dr. John Rankin of Stobhill Hospital, Glasgow, Scotland as a 5-level scale ranging from 1 to 5. [ 3 ] [ 4 ] It was then modified by either van Swieten et al. [ 5 ] or perhaps Prof. C. Warlow's group at Western General Hospital in Edinburgh for use in the UK-TIA study in the late 1980s to include ...
The instruments at this time with most evidence of validity were the Cincinnati Prehospital Stroke Scale (CPSS) and the Los Angeles Prehospital Stroke Screen (LAPSS). [3] Studies using FAST have demonstrated variable diagnostic accuracy of strokes by paramedics and emergency medical technicians with positive predictive values between 64% and 77 ...
Apex Tool Group is an American supplier of hand tools and power tools. It was formed as a joint venture of Cooper Industries and Danaher by the merger of Cooper Tools and Danaher's Tools and Components segment. In October 2012, Danaher and Cooper sold Apex to Bain Capital for about $1.6 billion.
Apex Digital, a California-based electronics manufacturer; Apex Hotels, a UK operator of four star hotels; Apex Records (Canada), a record label of Compo Company; Apex Silver Mines, a US-American mining company; Apex Stores, a Rhode Island–based department store chain; Apex Studios, a recording studio in Manhattan, New York City
Test of ascertain function after stroke (or cancer) The Functional Independence Measure ( FIM ) is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke , traumatic brain injury , spinal cord injury or cancer . [ 1 ]