Improved performance of new prenotification criteria for acute stroke patients》.pdfVIP

+ MODEL Journal of the Formosan Medical Association (2015) xx, 1e6 Available online at ScienceDirect journal homepage: ORIGINAL ARTICLE Improved performance of new prenotification criteria for acute stroke patients Ming-Ju Hsieh a,b, Sung-Chun Tang c, Patrick Chow-In Ko a,b, Wen-Chu Chiang a, Li-Kai Tsai c, Anna Marie Chang d, An-Yi Wang a, Shin-Joe Yeh c, Kuang-Yu Huang c, Jiann-Shing Jeng c,*, Matthew Huei-Ming Ma a,** a Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan b Graduate Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan c Stroke Center and Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan d Department of Emergency Medicine, Oregon Health and Science University, Portland, OR, United States Received 3 October 2014; received in revised form 18 February 2015; accepted 17 March 2015 KEYWORDS Background/purpose: We aim to evaluate the accuracy of the new prehospital notification emergency medical criteria for patients with potential acute stroke in the prehospital setting. services; Methods: We conducted a retrospective observational study from March 2011 to February 2013 prehospital stroke of potential acute stroke patients prenotified using the new criteria which were: (1) positive scale; Cincinnati Prehospital Stroke Scale (CPSS); (2) symptom onset within 3 hours; and (3) blood prenotification; glucose level 60 mg/dL. The sensitivity, specificity, positive predictive value (PPV), and sensitivity and negative predictive value (NPV) of the new criteria were calc