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BukuSiriraj Stroke Score Validity compared to Brain Computerized Tomography in Differentiating Ischemic Stroke and Hemorrhagic Stroke in Atma Jaya Hospital (presented at National Scientific Meeting Tangerang, May 5-8, 2016)
Bibliografi
Author: VANIA, AURELIA ; ARSHINTA, LASTA ; Wreksoatmodjo, Budi Riyanto ; Widayanti, Rr. Josephine Retno ; Turana, Yuda ; Suryakusuma, Linda ; Barus, Jimmy Fransisco Abadinta
Topik: JABFUNG-FKIK-YDT-2021-70
Bahasa: (EN )    
Penerbit: Perhimpunan Dokter Spesialis Saraf Indonesia (Indonesian Neurological Association)     Tempat Terbit: Jakarta    Tahun Terbit: 2016    
Jenis: Poster - pada seminar nasional
Fulltext: B70 Prosiding Poster Nasional.pdf (1.71MB; 4 download)
Abstract
Background: Stroke is classified into ischemic stroke and hemorrhagic stroke. This classification is essential in establishing the proper treatment. Nowadays, Brain CT scan is widely considered as the gold standard in acute stroke, but it is unlikely easily accessible in Indonesia, therefore it is necessary to determine the type of stroke by using scoring, such as Siriraj Stroke Score (SSS). The aim of this study is to assess the accuracy of SSS in distinguishing the type of strokes.
Methods: This is a cross sectional study conducted in Atma Jaya Hospital in December 2014 - December 2015. All hospitalized patients with diagnosis of stroke were included as the inclusion criteria. Brain CT and assessment for SSS were performed in first 24 hours after diagnosis of stroke. Siriraj Stroke Score cut off point were < -1 for ischemic stroke and > 1 for hemorrhagic stroke. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated to assess the validity of SSS compared to CT scan as the gold standard. From a total of 127 stroke patients, 69 of them had SSS <-l and 24 patients had SSS >1.
Conclusion: Sensitivity, specificity, PPV, and NPV for ischemic stroke were 58.51%, 57.57%, 79.71%, and 32.75%, and sensitivity, specificity, PPV, and NPV for hemorrhagic stroke were 39.39%, 88.28%, 54.17%, and 80.58%. Siriraj stroke score had an acceptable validity to rule out hemorrhagic stroke. Nevertheless, brain CT must be done as the gold standard to distinguish ischemic and hemorrhagic stroke.
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